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Mann NS, Hoda KK. Segmental colitis associated with diverticulosis: systematic evaluation of 486 cases with meta-analysis. Hepatogastroenterology. 2012; 59: 2119-2121.

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Article

Severe Ulcerative Colitis-like Pattern of Segmental Colitis Associated with Diverticulosis Complicated with a Colo-umbilical Fistula: Case Report

1Department of Internal Medicine, WellStar Atlanta Medical Center, Atlanta, Georgia, USA

2Facultad de Ciencias Medicas, Universidad de Guayaquil, Ecuador

3Gastroenterology consultant, WellStar Atlanta Medical Center, Atlanta, Georgia, USA


American Journal of Medical Case Reports. 2022, Vol. 10 No. 2, 39-41
DOI: 10.12691/ajmcr-10-2-5
Copyright © 2022 Science and Education Publishing

Cite this paper:
Luis M. Nieto, Sharon Narvaez, Sanskriti Sharma, Luther Burse. Severe Ulcerative Colitis-like Pattern of Segmental Colitis Associated with Diverticulosis Complicated with a Colo-umbilical Fistula: Case Report. American Journal of Medical Case Reports. 2022; 10(2):39-41. doi: 10.12691/ajmcr-10-2-5.

Correspondence to: Luis  M. Nieto, Department of Internal Medicine, WellStar Atlanta Medical Center, Atlanta, Georgia, USA. Email: dr_luismiguelnieto@hotmail.com

Abstract

A 49-year-old African American male with history of diverticulitis presented to the ED with abdominal pain and feculent discharge from the umbilicus. CT scan of the abdomen showed a fistulous tract from the sigmoid colon to the umbilicus. Labs revealed a markedly elevated fecal calprotectin level and colonoscopy demonstrated friable-appearing mucosa of the sigmoid colon. Segmental colitis associated with diverticulosis (SCAD) refers to a chronic, localized, nongranulomatous inflammation, usually in the sigmoid colon. SCAD spares the rectum and the proximal colon endoscopically and histologically. We present a case of diverticular disease associated with an unusual fistula and features of SCAD.

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