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

Luis M. Nieto^1, , Sharon Narvaez², Sanskriti Sharma¹ and Luther Burse³

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

Cite this paper:
Luis M. Nieto, Sharon Narvaez, Sanskriti Sharma and 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

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.

Keywords:
diverticulosis diverticulitis fistula Segmental Colitis

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