Perez Hernandez Carlos, Younes Islam, Elkattawy Sherif, Fanous Paul, Gonzalez Aponte Daphne, Makanay Omar, Naik Arun
RWJ Barnabas Health/Trinitas Regional Medical Center, Elizabeth, NJ, USA.
Saint George's University, True Blue, Grenada.
Eur J Case Rep Intern Med. 2022 Apr 5;9(4):003271. doi: 10.12890/2022_003271. eCollection 2022.
Diverticulitis and ulcerative colitis (UC) are two separate colonic pathologies with different underlying mechanisms. Diverticulosis involves herniation of mucosal and submucosal tissue through muscular tissue in response to increased intraluminal pressure. In contrast, it is believed that the muscular tone in patients with UC is reduced due to chronic inflammatory changes. Thus, it has been reported that there may be an inverse relationship between the presence of diverticulosis in patients with UC, in that UC may possibly be protective against developing diverticular disease. Consequently, the co-presence of both pathologies is uncommon. Here we present a case in which a woman with a history of UC and recurrent diverticulitis after elective partial colectomy was admitted for recurrent acute diverticulitis. It is quite challenging to diagnose diverticulitis in ulcerative colitis patients given the usually similar presentation with abdominal pain, diarrhoea and hematochezia. A level of high suspicion is required for diagnosis.
Colonic diverticulitis is not commonly associated with ulcerative colitis.The diagnosis of colonic diverticulitis in the setting of ulcerative colitis is challenging and requires a high level of suspicion.
憩室炎和溃疡性结肠炎（UC）是两种具有不同潜在机制的独立结肠疾病。憩室病是指黏膜和黏膜下层组织因腔内压力增加而通过肌肉组织形成疝。相比之下，据信UC患者由于慢性炎症改变，肌肉张力降低。因此，有报道称UC患者中憩室病的存在可能呈负相关，即UC可能对憩室病的发生具有保护作用。因此，这两种疾病同时存在并不常见。在此，我们报告一例病例，一名有UC病史且在择期部分结肠切除术后反复发生憩室炎的女性因复发性急性憩室炎入院。鉴于溃疡性结肠炎患者出现腹痛、腹泻和便血等症状通常相似，诊断憩室炎颇具挑战性。诊断需要高度怀疑。
结肠憩室炎通常与溃疡性结肠炎无关。在溃疡性结肠炎背景下诊断结肠憩室炎具有挑战性，需要高度怀疑。
