Refractory diverticular colitis with progressive ulcerative colitis-like changes extending to the rectum.
A 68-year-old man visited our department because of diarrhea and bloody stools. Colonoscopy revealed diverticula scattered in the sigmoid colon with localized mucosal edema and reddening. The mucosa became somewhat rough 9 months later, and had an erosive, ulcerative colitis (UC)-like appearance after a further 6 months, with these changes extending to the rectum. These findings led to a diagnosis of diverticular colitis (DC) with UC-like changes. The condition was refractory to treatment including drug therapy and was thus surgically treated. No cases of DC have been reported in Japan, and a refractory case of DC with progressive UC-like changes extending to the rectum is rare even in Europe and the USA.
Yamane
Tateki
T
Division of Gastroenterology and Hepatology, Department Of Internal Medicine, The Jikei University Kashiwa Hospital, Kashiwa, Chiba, Japan. Yamane@jikei.ac.jp
Uchiyama
Kan
K
Ishii
Takayuki
T
Ishii
Hironori
H
Omura
Mitsuhiro
M
Fujise
Kiyotaka
K
Tajiri
Hisao
H
D000368:Aged; D003092:Colitis / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D003093:Colitis, Ulcerative / Q000175:diagnosis / Q000601:surgery; D003113:Colonoscopy; D018450:Disease Progression; D043963:Diverticulosis, Colonic / Q000150:complications*; D006801:Humans; D008297:Male; D012002:Rectal Diseases / Q000175:diagnosis* / Q000601:surgery