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American Journal of Medical Case Reports. 2022, 10(2), 39-41
DOI: 10.12691/AJMCR-10-2-5
Case Report

Severe Ulcerative Colitis-like Pattern of Segmental Colitis Associated with Diverticulosis Complicated with a Colo-umbilical Fistula: Case Report

Luis M. Nieto1, , Sharon Narvaez2, Sanskriti Sharma1 and Luther Burse3

1Department of Internal Medicine, WellStar Atlanta Medical Center, Atlanta, Georgia, USA

2Facultad de Ciencias Medicas, Universidad de Guayaquil, Ecuador

3Gastroenterology consultant, WellStar Atlanta Medical Center, Atlanta, Georgia, USA

Pub. Date: January 25, 2022
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Cite this paper

Luis M. Nieto, Sharon Narvaez, Sanskriti Sharma and Luther Burse. Severe Ulcerative Colitis-like Pattern of Segmental Colitis Associated with Diverticulosis Complicated with a Colo-umbilical Fistula: Case Report. American Journal of Medical Case Reports. 2022; 10(2):39-41. doi: 10.12691/AJMCR-10-2-5

Abstract

A 49-year-old African American male with history of diverticulitis presented to the ED with abdominal pain and feculent discharge from the umbilicus. CT scan of the abdomen showed a fistulous tract from the sigmoid colon to the umbilicus. Labs revealed a markedly elevated fecal calprotectin level and colonoscopy demonstrated friable-appearing mucosa of the sigmoid colon. Segmental colitis associated with diverticulosis (SCAD) refers to a chronic, localized, nongranulomatous inflammation, usually in the sigmoid colon. SCAD spares the rectum and the proximal colon endoscopically and histologically. We present a case of diverticular disease associated with an unusual fistula and features of SCAD.

Keywords

diverticulosis, diverticulitis, fistula, Segmental Colitis

Copyright

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References

[1]  Parks TG. Natural history of diverticular disease of the colon. Clin Gastroenterol. 1974; 4:53-69.
 
[2]  Minardi, Andrew J., Jr, Johnson LW, Sehon JK, Zibari GB, McDonald JC. Diverticulitis in the young patient. Am Surg. 2001; 67(5): 458-61.
 
[3]  Tursi A. New physiopathological and therapeutic approaches to diverticular disease disease of the colon. Expert Opin Pharmacoter. 2007; 8: 299-307.
 
[4]  Tursi A, Elisei W, Brandimarte G, Giorgetti GM, Lecca PG, Di Cesare L, Inchingolo CD, Aiello F (2009) The endoscopic spectrum of segmental colitis associated with diverticulosis. Colorectal Dis. PMID: 19558591.
 
[5]  Mann NS, Hoda KK. Segmental colitis associated with diverticulosis: systematic evaluation of 486 cases with meta-analysis. Hepatogastroenterology. 2012; 59: 2119-2121.
 
[6]  Colcock BP, Stahmann FD. Fistulas complicating diverticular disease of the sigmoid colon. Ann Surg. 1972; 175(6): 838-846.
 
[7]  Pracyk JB, Pollard SG, Calne RY. The development of spontaneous colo-umbilical fistula. Postgrad Med J. 1993; 69(815): 750-751.
 
[8]  T. Fujii, T. Nakabayashi, S. Hashimoto, and H. Kuwano, “A delayed recrudescent case of sigmoidocutaneous fistula due to diverticulitis,” Case Reports in Gastroenterology, vol. 1, no. 1, pp. 116-122, 2007.
 
[9]  Mann NS, Hoda KK. Segmental colitis associated with diverticulosis: systematic evaluation of 486 cases with meta-analysis. Hepato-gastroenterology. 2012 Oct; 59(119): 2119-2121.
 
[10]  Evans JP, Cooper J, Roediger WE. Diverticular colitis - therapeutic and aetiological considerations. Colorectal Dis. 2002 May; 4(3): 208-212.
 
[11]  Tursi A, Elisei W, Brandimarte G, Giorgetti GM, Lecca PG, Di Cesare L, Inchingolo CD, Aiello F. The endoscopic spectrum of segmental colitis associated with diverticulosis. Colorectal Dis. 2010 May; 12(5): 464-70.
 
[12]  Cassieri C, Brandimarte G, Elisei W, Lecca GP, Goni E, Penna A, Picchio M, Tursi A. How to Differentiate Segmental Colitis Associated With Diverticulosis and Inflammatory Bowel Diseases. J Clin Gastroenterol. 2016 Oct; 50 Suppl 1: S36-8.
 
[13]  Makapugay LM, Dean PJ. Diverticular disease-associated chronic colitis. Am J Surg Pathol. 1996 Jan; 20(1): 94-102.
 
[14]  Evans JP, Cooper J, Roediger WE. Diverticular colitis - therapeutic and aetiological considerations. Colorectal Dis. 2002 May; 4(3): 208-212.
 
[15]  Freeman H. Natural history and long-term clinical behavior of segmental colitis associated with diverticulosis (SCAD syndrome). Dig Dis Sci. 2008; 53: 2452-2457.