Holländer E, Dávid G
Fövárosi Onkormányzat Erzsébet Kórház-Rendelöintézet, Budapest.
Orv Hetil. 1993 Mar 21;134(12):639-40.
The authors write about the inversion, a rare complication of the diverticulum of the sigmoid colon. The colour, surface of the diverticulum, 15 and 8 mm in diameters, were the same as the colon mucosa, it was soft and mobile by tacting. Biopsy was performed which caused a serious complication, a perforation to the free abdominal space, requiring a surgical operation. The inverted diverticulum can be distinguished from a polyp not by endoscopy, but by double contrast barium enema. Detecting a long, soft, mobile mass in the colon, must be thought about an inverted diverticulum and the biopsy must be omitted.
作者们描述了一种罕见的乙状结肠憩室并发症——内翻。该憩室直径分别为15毫米和8毫米，其颜色、表面与结肠黏膜相同，触诊时柔软且可活动。进行了活检，但引发了严重并发症，即穿孔至游离腹腔，需要进行外科手术。内翻的憩室无法通过内镜检查与息肉区分，而需通过双重对比钡灌肠来鉴别。在结肠中检测到长形、柔软、可活动的肿物时，必须考虑到内翻憩室，且应避免进行活检。
