Brophy Samantha, Hitomi Nicole, Bains Gurvijay
Emergency Medicine, California Northstate University College of Medicine, Elk Grove, USA.
Emergency Medicine, University of the Pacific School of Health Sciences, Sacramento, USA.
Cureus. 2025 Mar 16;17(3):e80661. doi: 10.7759/cureus.80661. eCollection 2025 Mar.
Diverticulitis is a common condition generally seen in older populations. It is rare, but not impossible, to see in younger patients where it can often be confused with other abdominal pathologies. Segmental colitis associated with diverticulitis (SCAD) had been previously considered a complication of diverticulitis, and only fairly recently has it been designated as its own pathology. It is typically defined as a non-specific inflammation localized to the sigmoid region of the colon, with features that may appear similar to inflammatory bowel diseases or acute uncomplicated diverticulitis. We present the case of a 22-year-old male patient who presented to the emergency department (ED) with left lower quadrant (LLQ) pain, suprapubic pain, and nausea, and was found to have SCAD on abdominal imaging. The patient improved with pain medication and antiemetics and was found to be stable for discharge home with appropriate outpatient follow-up. This case presents an unusual presentation for this pathology and brings attention to the importance of a broad differential in the ED as well as understanding management plans and similarities between disease presentations.
憩室炎是一种常见疾病，多见于老年人群。在年轻患者中虽罕见但并非不可能出现，且常易与其他腹部病变相混淆。与憩室炎相关的节段性结肠炎（SCAD）以前被认为是憩室炎的一种并发症，直到最近才被认定为一种独立的病理状态。它通常被定义为局限于结肠乙状结肠区域的非特异性炎症，其特征可能与炎症性肠病或急性非复杂性憩室炎相似。我们报告一例22岁男性患者，因左下腹疼痛、耻骨上区疼痛和恶心就诊于急诊科，腹部影像学检查发现患有SCAD。患者经止痛药物和止吐药治疗后症状改善，经适当的门诊随访后被认定病情稳定可出院回家。该病例为此种病理状态呈现了一种不寻常的表现，并凸显了在急诊科进行广泛鉴别诊断以及理解管理计划和疾病表现之间相似性的重要性。
