Sierra-Montenegro E, Villanueva-Sáenz E, Fernández-Rivero JM, Rocha-Ramírez JL, Rojas-Illanes M

Language: Spanish
References: 16
Page: 209-210
PDF size: 44.67 Kb.

ABSTRACT

Background: The presence of rectal diverticula is extremely rare; nevertheless, diverticular disease is considered a greater problem. We report a case of rectal diverticula in a patient with diverticular disease of the sigmoid.
Clinical case: An 88-year-old male presented to the emergency room with hematochezia of several days evolution. During colonoscopy two diverticula were seen at 5 cm from the anal verge.
Discussion: Two theories exist to explain why rectal diverticula are rare, but other authors indicate its relationship to genetic alterations. Rectal diverticula are generally asymptomatic and surgical treatment only becomes necessary when these lesions progress to ulceration and abscess formation.

REFERENCES

1. 1.Littre A (1700) and Friend (1730): quote by Localino SA, Stahl WM. Diverticular disease of the alimentary tract. I. The colon. Curr Probl Surg 1967:1-78.

2. 2.Mayo CW. Diverticulosis and diverticulitis of the colon. Coll Papers Mayo Clin 1953;45:155-157.

3. 3.Piercy KT, Timaran C, Akin H. Rectal diverticula. Report of a case and review of the literature. Dis Colon Rectum 2002;45:1116-1117.

4. 4.Damron JR, Lieber A, Simmons T. Rectal diverticula. Radiology 1975;115:599-601.

5. 5.Giffin HZ. Diverticulosis of the rectum. Ann Surg 1911;53:533-537.

6. 6.Spriggs EI, Marxer OA. Multiple diverticula of the colon. Lancet 1927:1067-1074.

7. 7.Walstad PM, Sahibzada AR. Diverticula of the rectum. Am J Surg 1968;116:937-939.

8. 8.Lavsic BM, Raider L, Drnovsek VH, et al. Association of rectal diverticula and scleroderma. Acta Radiol 1995;36:96-99.

9. 9.Weston SD, Schlachter IS. Diverticulum of the rectum. Dis Colon Rectum 1959;2:458-464.

10. 10.Berman PM, Kirsner JB. Current knowledge of diverticular disease of the colon. Am J Dig Dis 1972;17:741–759.

11. 11.Kyaw MM, Haines JO. Rectal diverticula. Radiology 1971;100:283-284.

12. 12.Telling WHM. Acquired diverticula of the sigmoid flexures. Lancet 1908;1:843-850.

13. 13.Wilson LB. Diverticula of the lower bowel. Their development and relationship to carcinoma. Ann Surg 1911;53:223-231.

14. 14.Halpert Rd, Crnkovich FM, Schreiber MH. Rectal diverticulosis: a case report and review of the literature. Gastrointest Radiol 1989; 14:274-276.

15. 15.Tweddell TN. Diverticulitis of the rectum. Can MAJ 1954;70:569.

16. 16.Gant SJ. Disease of the Rectum, Anus, and Colon, Vol. 2. Philadelphia: W.B. Saunders;1923.