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Diverticular Disease-Associated Colitis

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Colitis

Abstract

Diverticular disease-associated colitis is a disorder of chronic segmental mucosal inflammation limited to an area affected by diverticular disease. It is characterized by the presence of features of chronic inflammation such as distortion of the architecture and an increase of inflammatory cells which may be associated with basal plasma cells and even granulomas. The lesions are however limited to the sigmoid and should not be diagnosed as either ulcerative colitis or Crohn’s disease. For a precise diagnosis it is essential to know the site of origin of the biopsy and to correlate with the endoscopic data.

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References

  1. Ludeman L, Shepherd NA. What is diverticular colitis? Pathology. 2002;34:568–72.

    Article  CAS  PubMed  Google Scholar 

  2. Mullhall AM, Mahid SS, Petras RE, et al. Diverticular disease associated with inflammatory bowel disease-like colitis: a systemic review. Dis Colon Rectum. 2009;52:1072–9.

    Article  Google Scholar 

  3. Schembri J, Bonello J, Christodoulou K, et al. Segmental colitis associated with diverticulosis is it the coexistence of colonic diverticulosis and inflammatory bowel disease? Ann Gastroenterol. 2017;30:257–61.

    PubMed  PubMed Central  Google Scholar 

  4. Ierardi E, Hassan C, Zullo A, et al. Segmental colitis associated with diverticula: a rare clinical entity and a new challenge for the gastroenterologist. Dig Liver Dis. 2009;41:794–7.

    Article  CAS  PubMed  Google Scholar 

  5. Tursi A, Elisei W, Branimarte G, et al. The endoscopic spectrum of segmental colitis associated with diverticulosis. Color Dis. 2010;12:464–70.

    Article  CAS  Google Scholar 

  6. Harpaz N, Sachar DB. Segmental colitis associated with diverticular disease and other IBD look-alikes. J Clin Gastroenterol. 2006;40:S132–5.

    Article  PubMed  Google Scholar 

  7. Ludeman L, Warren BF, Sheperd NA. The pathology of diverticular disease. Best Pract Res Clin Gastroenterol. 2002;16:543–62.

    Article  PubMed  Google Scholar 

  8. Tursi A, Ihingolo CD, Picchio M, et al. Histopathology of segmental colitis associated with diverticulosis resembles inflammatory bowel disease. J Clin Gastroenterol. 2015;49:350–1.

    Article  PubMed  Google Scholar 

  9. Lamps W, Knapple WL. Diverticular disease –associated segmental colitis. Clin Gastro Hepatol. 2007;5(1):27–31.

    Article  Google Scholar 

  10. Hokama A, Kinjo F, Tomiyama R, et al. Progression of diverticular colitis to ulcerative colitis. Inflamm Bowel Dis. 2005;11:618.

    Article  PubMed  Google Scholar 

  11. Maeshiro T, Hokama A, Kinjo T, et al. Diverticular colitis of the ascending colon preceding the onset of ulcerative colitis. BMJ Case Rep. 2014;2014:bcr2014204361. https://doi.org/10.1136/bcr-2014-204361.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Gledhill A, Dixon MF. Crohn’s-like reaction in diverticular disease. Gut. 1998;42:392–5.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  13. Goldstein NS, Leon-Armin C, Mani A. Crohn’s colitis-like changes in sigmoid diverticulitis specimens is usually an idiosyncratic inflammatory response to the diverticulosis rather than Crohn’s colitis. Am J Surg Pathol. 2000;24:668–75.

    Article  PubMed  CAS  Google Scholar 

  14. Rhodes J, Rose J. Crohn’s disease in the elderly. Br Med J. 1985;291:1149–50.

    Article  CAS  Google Scholar 

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Correspondence to Anne Jouret-Mourin .

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Jouret-Mourin, A., Fanni, D., Geboes, K. (2018). Diverticular Disease-Associated Colitis. In: Jouret-Mourin, A., Faa, G., Geboes, K. (eds) Colitis. Springer, Cham. https://doi.org/10.1007/978-3-319-89503-1_12

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  • DOI: https://doi.org/10.1007/978-3-319-89503-1_12

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-89502-4

  • Online ISBN: 978-3-319-89503-1

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