Thakkar Bianca, Tidwell Jasmine, Nguyen Minh Thu T, Yu Gengsheng, Parikh Neil
Department of Medicine, University of Connecticut John Dempsey Hospital, Farmington, CT.
Division of Gastroenterology and Hepatology, Department of Medicine, University of Connecticut, Farmington, CT.
ACG Case Rep J. 2024 Sep 12;11(9):e01505. doi: 10.14309/crj.0000000000001505. eCollection 2024 Sep.
Colonic diverticulitis is inflammation of diverticula, which are sac-like protrusions in the colonic wall. It is thought that increased intraluminal pressure and trapped food leads to inflammation. Newer theories suggest that alterations in the gut microbiome and chronic inflammation play a role as well. Diverticulitis commonly affects discrete sections of colon. Acute multifocal diverticulitis is defined as diverticulitis in at least 2 different sites of the colon separated by at least 10 cm, which is very rare. Ideal management is unclear; however, our patient improved with supportive measures and antibiotics without complications of abscess, perforation, or need for surgery.
结肠憩室炎是憩室的炎症，憩室是结肠壁上的囊状突出物。据认为，管腔内压力增加和食物滞留会导致炎症。新的理论表明，肠道微生物群的改变和慢性炎症也起作用。憩室炎通常影响结肠的离散节段。急性多灶性憩室炎定义为结肠中至少2个不同部位的憩室炎，且这些部位至少相隔10厘米，这非常罕见。理想的治疗方法尚不清楚；然而，我们的患者通过支持措施和抗生素治疗后病情好转，未出现脓肿、穿孔等并发症，也无需手术。
