Emrehan Parlak, Arzu Tiftikçi, Bircan Boğa, Serpil Yılmaz, Bahattin Çiçek

Ters dönmüş kolonik divertikül: İki Olgu Sunumu

Kolonik divertikula kolon duvarında mukoza ve submukozanın içe çökmesi şeklinde görülür. Ters dönmüş divertikül, kolonik adenomla karışabilir. Biz burada adenoma benzeyen iki ters dönmüş kolonik divertikül olgusu sunuyoruz.Anahtar Sözcükler: Ters dönmüş kolonik divertikül, adenom, polipektomi

Inverted Colonic Diverticula Cases

Colonic diverticula are outpouchings of mucosa and submucosa through the large intestine wall. Inverted colonic diverticula can be confused with colonic adenoma. It is important to differentiate them. Here we report two cases of inverted diverticula that seem to like adenomas.Keywords: Diverticula, polyp, inversion

PDF

___

1. Travis AC. Diverticular disease of the colon. In: Greenberger NJ, Blumberg RS, Burakoff R. eds. Current diagnosis and treatment Gastroenterology, Hepatology and Endoscopy. Cham: MC GrawHill Education.. A lange medical book: publishing 2016. p 274-88
2. Gearhart S. Diverticular disease and common anorectal disorders. In: Longo DL, Fauci AS eds. Harrison’s Gastroenterology and Hepatology. Cham: MC Graw-Hill Education. publishing 2013. P 212-26
3. Matrana MR and Margolin DA. Epidemiology and pathophysiology of diverticular disease. Clin Colon Rectal Surg. 2009; 22 (3):141-8
4. Zhang B, Wang J, Li X , et al. Intussusception Caused by an Inverted Colonic Diverticulum: A Case Report. J Med Case Rep. 2018; 27;12(1):114. DOI:10.1186/s13256-018-1652-9
5. Merino RC, Kinney T, Santander R, et al. Inverted Colonic Diverticulum:An infrequent and dangerous endoscopic finding. Gastrointesti Endosc. 2005 ; 61(5) AB257: W1120
6. Yusuf SI and Grant C. Inverted colonic diverticulum: a rare finding in a common condition? Gastrointest Endosc. 2000; 52(1): 111–5.
7. Dumas O, Jouffre C, Desportes R et al. Inverted sigmoid diverticulum: a misleading polyp. Gastrointest Endosc. 1991;37(5): 587–8.
8. Paoluzi OA, Tosti C, Andrei F. et al. Look out before polypectomy in patients with diverticular disease--A case of a large inverted diverticulum of the colon resembling a pedunculated polyp. Can J Gastroenterol. 2010;24(1) :61-3
9. Adioui T and Seddik H. Inverted colonic diverticulum. Ann Gastroenterol. 2014; 27(4):411
10. Cappel MS. The water jet deformation sign: a novel provocative colonoscopic maneuver to help diagnose an inverted colonic diverticulum. South Med J. 2009 ; 102(3):295-8
11. Share MD, Avila A, Dry SM, et al. Aurora rings:a novel endoscopic finding to distinguish inverted colonic diverticula from colon polyps. Gastrointest Endosc. 2013; 77(2): 308-12
12. Iqbal CW, Cullinane DC, Schiller HJ, et al. Surgical management and outcomes of 165 colonoscopic perforations from a single institution. Arch Surg. 2008;143(7): 701-6