Annals of Coloproctology

Review

Benign GI diease,Benign diesease & IBD,Epidemiology & etiology

The Epidemiology and Etiology of Right-Sided Colonic Diverticulosis: A Review: Greg A. Turner, Michael J. O’Grady, Rachel V. Purcell, Frank A. Frizelle; Ann Coloproctol. 2021;37(4):196-203. Published online July 21, 2021; DOI: https://doi.org/10.3393/ac.2021.00192.0027

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Diverticulosis of the colon is a common condition in Western countries and most patients will remain asymptomatic, but some will present with symptoms of acute diverticulitis or bleeding. Our understanding of diverticulosis is evolving but is mostly derived from diverticulosis affecting the left-sided colon. In contrast, right-sided colonic diverticulosis (RCD) is more commonly seen in Asian countries but is much less common overall. Based on the marked differences in epidemiology, it is commonly thought that these are 2 distinct disease processes. A review of the literature describing the epidemiology and etiology of RCD was performed, with a comparison to the current understanding of left-sided diverticulosis. RCD is becoming increasingly common. The epidemiology of RCD shows it to be a mostly acquired condition, and not congenital as previously thought. Many factors in the etiology of RCD are similar to that seen in left-sided diverticulosis, with a few variations. It is therefore likely that most cases of RCD represent the same disease process that is seen in the left colon.

Citations

Citations to this article as recorded by

Right‐sided colonic diverticulitis. Short and long‐term surgical outcomes and 2‐year quality of life
Sara Lauricella, Francesco Brucchi, Dario Palmisano, Gianandrea Baldazzi, Luca Bottero, Diletta Cassini, Giuseppe Faillace
World Journal of Surgery.2024; 48(2): 484. CrossRef
49-jährige Patientin mit Unterbauchschmerz rechts
Achim Jatkowski, Arne Dehling, Wolfram Zoller
Zeitschrift für Gastroenterologie.2024; 62(02): 171. CrossRef
Features of colonic diverticulitis in children and adolescents: A multicenter study
Ji-Won Han, Joonhyuk Son, Chaeyoun Oh
Asian Journal of Surgery.2024; 47(5): 2195. CrossRef
Right Upper Quadrant Pain: A Rare Presentation of Diverticulitis
Rediet Tefera Atalay, Oluwapelumi Kolawole, Girma M Ayele, Abay A Gobezie, Angesom Kibreab, Miriam B Michael
Cureus.2024;[Epub] CrossRef
Colonic Diverticulosis at Colonoscopy in Africa: A Systematic Review and Meta-Analysis of Pooled Estimates
Emeka Ray-Offor, Stella-Maris Egboh, Rex F.O.A. Ijah, Sameh Hany Emile, Steven D. Wexner
Digestive Surgery.2024; 41(2): 63. CrossRef
Genetic, epigenetic and environmental factors in diverticular disease: systematic review
Hannah N Humphrey, Pauline Sibley, Eleanor T Walker, Deborah S Keller, Francesco Pata, Dale Vimalachandran, Ian R Daniels, Frank D McDermott
BJS Open.2024;[Epub] CrossRef
Beyond the Norm: Acute Multifocal Diverticulitis
Bianca Thakkar, Jasmine Tidwell, Minh Thu T. Nguyen, Gengsheng Yu, Neil Parikh
ACG Case Reports Journal.2024; 11(9): e01505. CrossRef
Right-Sided Diverticulitis: A Rare Cause of Right-Sided Abdominal Pain
Athanasios Papatriantafyllou, Paraskevi Dedopoulou, Konstantina Soukouli, Ioannis Karioris, Stylianos Tsochatzis
Cureus.2023;[Epub] CrossRef
Diverticulosis and Diverticulitis: Epidemiology, Pathophysiology, and Current Treatment Trends
Mohit Bhatia, Aastha Mattoo
Cureus.2023;[Epub] CrossRef
Diagnosis and Treatment of Colonic Diverticular Disease
You Sun Kim
The Korean Journal of Gastroenterology.2022; 79(6): 233. CrossRef
When to Perform a Colonoscopy in Diverticular Disease and Why: A Personalized Approach
Antonio Tursi, Valerio Papa, Loris Riccardo Lopetuso, Lorenzo Maria Vetrone, Antonio Gasbarrini, Alfredo Papa
Journal of Personalized Medicine.2022; 12(10): 1713. CrossRef
Right-sided colopleural fistula secondary to diverticular disease: a case report
Summer Hassan, Primal Singh
Journal of Medical Case Reports.2022;[Epub] CrossRef
Case Series of Right Colon Diverticulitis in the West: A Neglected Disease?
Lucas Faraco Sobrado, Tarsila Gomes Caldas, Carolina Graciolli Facanali, Leonardo Bustamente-Lopez, Carlos Walter Sobrado
Journal of Coloproctology.2022; 42(04): 302. CrossRef

Case Reports

Benign GI diease,Benign diesease & IBD

Enterovesical Fistula From Meckel Diverticulum: Seung-Rim Han, Hyung-Jin Kim, Ri Na Yoo, Suk Hyun Shin, Gun Kim, Hyeon Min Cho, Seung-Ju Lee, Hyang-Im Lee; Ann Coloproctol. 2021;37(Suppl 1):S1-S3. Published online March 16, 2020; DOI: https://doi.org/10.3393/ac.2019.01.18

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3 Citations

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Meckel diverticulum is a common congenital malformation of the gastrointestinal tract and can cause complications such as ulceration, hemorrhage, intussusception, and perforation. This report describes a very rare complication of an enterovesical fistula associated with chronic Meckel diverticulum. A 51-year-old male presented with over 10 years of persistent pyuria. Tests were performed to rule out malignancy, including serum prostate-specific antigen level, urine cytology, bacterial culture, cystoscopy, and bladder computed tomography. An enterovesical fistula was identified, and laparoscopic exploration was performed. The findings suggested enterovesical fistula formation caused by chronic inflammation at the tip of a Meckel diverticulum. Segmental resection of the small bowel including the diverticulum and primary repair of the urinary bladder along with partial cystectomy were performed. The postoperative clinical course was uneventful. An enterovesical fistula is a very rare complication resulting from chronic inflammation of a Meckel diverticulum.

Citations

Citations to this article as recorded by

Management of vesicoenteric fistulas arising from perforated Meckel’s diverticulum: a report of a case and review of the literature
Dimitrios Diamantidis, Nikolaos Papatheodorou, Panagiotis Kostoglou, Georgios Tsakaldimis, Sotirios Botaitis
Oxford Medical Case Reports.2024;[Epub] CrossRef
The Effects of Diet, Dietary Supplements, Drugs and Exercise on Physical, Diagnostic Values of Urine Characteristics
Dorota Skrajnowska, Barbara Bobrowska-Korczak
Nutrients.2024; 16(18): 3141. CrossRef
A case report of a ruptured Meckel's diverticulum with ectopic gastric and pancreatic tissue with negative computed tomography
Marcos Rosado, Thomas Serena, John Pui, John Parmely
International Journal of Surgery Case Reports.2021; 83: 105994. CrossRef

Iatrogenic Rectal Diverticulum With Pelvic-Floor Dysfunction in Patients After a Procedure for a Prolapsed Hemorrhoid: Sun Kyung Na, Hye-Kyung Jung, Ki-Nam Shim, Sung-Ae Jung, Soon Sup Chung; Ann Coloproctol. 2014;30(1):50-53. Published online February 28, 2014; DOI: https://doi.org/10.3393/ac.2014.30.1.50

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8 Web of Science
8 Citations

Abstract PDF

Diverticula are frequently seen in the sigmoid, descending, ascending and transverse colons whereas rectal diverticula are extremely rare. The stapled rectal mucosectomy for the treatment of a prolapsed hemorrhoid is less painful and has lower morbidity; therefore, it has been commonly used despite possible complications. This paper reports a case of a rectal diverticulum that developed after a procedure for prolapsed hemorrhoids (PPH). A 42-year-old man with a history of hemorrhoidectomies came to the hospital because of constipation. On sigmoidoscopy, a 2-cm-sized, feces-filled pocket was located just above the anorectal junction. After removal of the fecal material, a huge rectal diverticulum (-4 cm in diameter) was seen. Pelvic magnetic resonance imaging (MRI) confirmed the diagnosis of rectal diverticulum outpouching through the muscular layer of the intestine in a left posterolateral direction. The patient was discharged without complication after a transanal diverticulectomy had been performed, and the direct rectal wall had been repaired.

Citations

Citations to this article as recorded by

A Novel Method of Treating Rectal Diverticulum Using Transanal Minimally Invasive Surgery (TAMIS)
Yui Kaneko, Neil Strugnell
World Journal of Colorectal Surgery.2024; 13(2): 46. CrossRef
İnverte rektal divertikül: Nadir bir kolonoskopik bulgu
Şehmus ÖLMEZ, Adnan TAŞ, Nevin AKÇAER ÖZTÜRK, Bünyamin SARITAŞ
Akademik Gastroenteroloji Dergisi.2023; 22(1): 38. CrossRef
Rectal Pocket Syndrome: A Symptomatic Rectal Pseudodiverticula as a Long-Term Complication of Failed Purse-String Suture During Stapled Hemorrhoidopexy
Cristopher Varela, Adrian Terán, Sthephfania Lopez, German Millan
World Journal of Colorectal Surgery.2023; 12(2): 48. CrossRef
Mucocele: a rare complication following stapled haemorrhoidopexy
Xing-Yang Wan, Yuan-Ji Fu, Gui-Ming Li, Guo-Zhong Xiao, Zhi-Wei Guo, Dong-Lin Ren, Bo Cao, Hong-Cheng Lin
BMC Surgery.2022;[Epub] CrossRef
Pulsion diverticula of the rectum: Radiological diagnosis and clinical implications
Gary G Ghahremani, Ravinder K Mittal
Journal of Medical Imaging and Radiation Oncology.2021; 65(3): 286. CrossRef
Stapled Hemorrhoidopexy: “Mucosectomy or Not Only Mucosectomy, This Is the Problem”
Chiara Eberspacher, Fabio M. Magliocca, Stefano Pontone, Pietro Mascagni, Lisa Fralleone, Gaetano Gallo, Domenico Mascagni
Frontiers in Surgery.2021;[Epub] CrossRef
A case of solitary rectal diverticulum presenting with a large retrorectal abscess
Stefanos Gorgoraptis, Sofia Xenaki, Elias Athanasakis, Anna Daskalaki, Konstantinos Lasithiotakis, Evangelia Chrysou, Emmanuel Chrysos
Annals of Medicine and Surgery.2020; 49: 57. CrossRef
Mucocele complicating stapled hemorrhoidopexy
Asia Grapsi, Alessandro Sturiale, Bernardina Fabiani, Gabriele Naldini
International Journal of Surgery Case Reports.2017; 33: 38. CrossRef

Giant Ascending Colonic Diverticulum Presenting With Intussusception: Ho Jin Kim, Jin Ha Kim, Ok In Moon, Kyung Jong Kim; Ann Coloproctol. 2013;29(5):209-212. Published online October 31, 2013; DOI: https://doi.org/10.3393/ac.2013.29.5.209

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10 Citations

Abstract PDF

Diverticular disease of the colon is a common disease, and its incidence is increasing gradually. A giant colonic diverticulum (GCD) is a rare entity and is defined as a diverticulum greater than 4 cm in size. It mainly arises from the sigmoid colon, and possible etiology is a ball-valve mechanism permitting progressive enlargement. A plain abdominal X-ray can be helpful to make a diagnosis initially, and a barium enema and abdominal computed tomography may confirm the diagnosis. Surgical intervention is a definite treatment for a GCD. We report a case of an ascending GCD presenting with intussusception in a young adult.

Citations

Citations to this article as recorded by

Intussusception secondary to retroflexion of a proximal jejunal diverticulum, leading to Type 3 vagal indigestion with severe hypochloraemia in an adult Simmental bull (Bos taurus)
Liam A. Wilson, Rob F. Kelly, Adrian W. Philbey
Veterinary Record Case Reports.2024;[Epub] CrossRef
A case report of impacted fecalith within mucosal pouch: an unusual cause of colocolic intussusception
Douglas Greer, Adrian Fernandez
Annals of Coloproctology.2024; 40(Suppl 1): S15. CrossRef
Popping the Balloon: A Giant Colonic Diverticulum Complicated by Bladder Neck Compression
M. C. Ripoli, A. Lauro, S. Vaccari, G. Mastrocola, A. Lanci-Lanci, V. D’Andrea, I. R. Marino, M. Cervellera, V. Tonini
Digestive Diseases and Sciences.2021; 66(1): 41. CrossRef
Laparoscopic resection of a giant colonic diverticulum – the ‘lifting balloon’ sign – a video vignette
C. Rodríguez‐Otero Luppi, M. Rodríguez Blanco, J. Bollo Rodríguez, A. Méndez, J. Merlo Más
Colorectal Disease.2019; 21(9): 1096. CrossRef
Intussusception caused by an inverted colonic diverticulum: a case report
Bei Zhang, Jiping Wang, Xiaoguang Li, Zhuo Wang, Yangjiao Zhang, Hao Yang
Journal of Medical Case Reports.2018;[Epub] CrossRef
Adult intussusception secondary to diverticular disease
Habib Syed, Labib Syed, Umesh Parampalli, Mokhtar Uheba
BMJ Case Reports.2018; : bcr-2018-226678. CrossRef
Laparoskopische Resektion eines Riesenkolondivertikels
P. J. Roch, T. Friedrich, R. Bönninghoff, D. Dinter, A. Rickert
Der Chirurg.2017; 88(8): 682. CrossRef
Giant colonic diverticulum: radiographic and MDCT characteristics
Abdel-Rauf Zeina, Ahmad Mahamid, Alicia Nachtigal, Itamar Ashkenazi, Mika Shapira-Rootman
Insights into Imaging.2015; 6(6): 659. CrossRef
Giant colonic diverticulum: Clinical presentation, diagnosis and treatment: Systematic review of 166 cases
Giuseppe Nigri
World Journal of Gastroenterology.2015; 21(1): 360. CrossRef
Giant Colonic Diverticulum: a Rare Diagnostic and Therapeutic Challenge of Diverticular Disease
Ryan Macht, Holly K. Sheldon, P. Marco Fisichella
Journal of Gastrointestinal Surgery.2015; 19(8): 1559. CrossRef

A Case of a Mucinous Adenocarcinoma Arising from a Rectal Diverticulum: Jang Hoon Kwon, Koon Hee Han, Woo-Sung Chang, Ki-Ho Nam, Myoung Sik Han, Jae Hong Ahn, Sang Hak Han, Gab Jin Cheon; J Korean Soc Coloproctol. 2012;28(4):222-224. Published online August 31, 2012; DOI: https://doi.org/10.3393/jksc.2012.28.4.222

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The occurrence of an adenocarcinoma arising from a rectal diverticulum that causes mechanical ileus is very rare. Recently, we diagnosed a case of a mucinous adenocarcinoma in a rectal diverticulum after an emergent abdominal perineal resection and permanent colostomy by laparotomy. Here, we present a case report and a review of the literature.

Citations

Citations to this article as recorded by

A Novel Method of Treating Rectal Diverticulum Using Transanal Minimally Invasive Surgery (TAMIS)
Yui Kaneko, Neil Strugnell
World Journal of Colorectal Surgery.2024; 13(2): 46. CrossRef
A case of solitary rectal diverticulum presenting with a large retrorectal abscess
Stefanos Gorgoraptis, Sofia Xenaki, Elias Athanasakis, Anna Daskalaki, Konstantinos Lasithiotakis, Evangelia Chrysou, Emmanuel Chrysos
Annals of Medicine and Surgery.2020; 49: 57. CrossRef
Mucinous Adenocarcinoma Arising within a Colonic Diverticulum Mimicking a Diverticular Abscess: A Case Report
Goun Choi, Jiyoung Hwang, Seong Sook Hong, Jae Joon Kim, In Ho Choi
Journal of the Korean Society of Radiology.2018; 79(1): 40. CrossRef
Divertículo rectal sintomático
Alvaro Andres Gomez Venegas
Revista Colombiana de Gastroenterología.2018; 33(4): 469. CrossRef
Rectal pseudodiverticulum
Saurabh Singh, Louis Savage
BMJ Case Reports.2014; : bcr2013201888. CrossRef
Rectal Diverticulum after Stapled Transanal Procedures: Surgery Encouraged
Gianluca Pellino
The American Surgeon™.2013; 79(12): 1320. CrossRef

Giant Transverse Colon Diverticulitis Presenting as Indirect Right Inguinal Hernia Strangulation.: Park, Weon Cheol , Lee, Jeong Kyun , Yoon, Seong Eon , Yun, Ki Jung; J Korean Soc Coloproctol. 2006;22(3):200-203.

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Abstract PDF: A giant colonic diverticulum is a rare complication of diverticulosis, and an inguinal hernia is a common diagnosis for patients presenting with a painful groin mass. A 52-year-old male presented to the emergency room with a 3-hour complaint of progressive, constant, right-groin pain with an inguinal mass. After manual reduction of the inguinal hernia, the patient complained of pain in the right upper quadrant. Operative findings showed a transverse colon diverticulitis without perforation. We report here that case of a transverse colon giant diverticulum presenting as an atypical incarcerated inguinal hernia.

Diverticula of Appendix Associated with Chronic Abdominal Pain: A case report.: Shin, Il Yong , Ahn, Chang Joon , Cheon, Joon Sung , Kim, Jeong Goo , Lee, Dong Ho , You, Young Kyoung , Lee, Hye Kyung; J Korean Soc Coloproctol. 2006;22(1):58-61.

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Abstract PDF: The incidence of an appendiceal diverticulum in instance of appendectomies has been reported to range from 0.004 to 2.1 percent. It is known that diverticulum of the appendix leads to diverticulitis, appendicitis, or perforation. Recently in the literature, appendiceal diverticulum without inflammation has been reported as a possible cause of chronic abdominal pain. We report the case of a 40-year-old man with appendiceal diverticula associated with chronic abdominal pain.

A Case of Hemorrhage from a Diverticulum of the Appendix.: Choi, Sung Il , Shin, Jong Keun , Lee, Sook Hee , Kim, Do Sun , Lee, Doo Han , Kang, Yun Sik; J Korean Soc Coloproctol. 2005;21(1):48-51.

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Abstract PDF: Diverticulum of the vermiform appendix is infrequently encountered, and in the absence of inflammation, it has been reported to be asymptomatic. Furthermore, hemorrhage from an appendiceal diverticulum is extremely rare, and has not yet reported in our country. We report a case of hemorrhage occurring in appendiceal diverticulum.

Original Article

Giant Colonic Diverticulum.: Yu, Ki Won , Baek, Moo Jun , Kim, Sung Yong; J Korean Soc Coloproctol. 1999;15(3):227-232.

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Abstract PDF: While diverticulosis of the colon is a relatively common disease, a solitary giant colonic diverticulum is rare. Although there exist some theories about the formation of the giant colonic diverticulum, none is really conclusive. The preoperative diagnosis of giant colonic diverticulum is made radiographically with findings of a large, smoothly marginated, round homogeneous radiolucency in the abdomen that is in close apposition to the colon on barium enema examination. Early surgical treatment is necessary since the complication rate is high. One case of giant colonic diverticulum is presented, the clinical, radiologic and pathologic findings are discussed, and the etiology and differential diagnosis, reviewe.

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