Maeshiro Tatsuji, Hokama Akira, Kinjo Tetsu, Fujita Jiro
Department of Infectious, Respiratory, and Digestive Medicine, University of the Ryukyus, Nishihara, Japan.
Department of Endoscopy, University of the Ryukyus, Nishihara, Japan.
BMJ Case Rep. 2014 Jun 30;2014:bcr2014204361. doi: 10.1136/bcr-2014-204361.
We present a case of diverticular colitis of the ascending colon preceding the onset of ulcerative colitis. A 58-year-old man presented with positive faecal occult blood test. Colonoscopy disclosed diverticular colitis of the ascending colon. After a year's follow-up, typical ulcerative colitis developed and diverticular colitis improved. Diverticular colitis is a newly established disorder of chronic segmental mucosal inflammation affected by diverticular disease. There is increasing recognition of such cases with diverticular colitis preceding ulcerative colitis. There may be a possible pathogenic relationship between the two diseases.
我们报告一例在溃疡性结肠炎发病前出现升结肠憩室性结肠炎的病例。一名58岁男性粪便潜血试验呈阳性。结肠镜检查发现升结肠憩室性结肠炎。经过一年的随访，典型的溃疡性结肠炎发展，憩室性结肠炎好转。憩室性结肠炎是一种新确定的受憩室病影响的慢性节段性黏膜炎症性疾病。越来越多的人认识到溃疡性结肠炎之前出现憩室性结肠炎的此类病例。这两种疾病之间可能存在致病关系。
