Colonic diverticulosis refers to the presence of multiple diverticula. It is quite distinct from diverticulitis which describes inflammation and infection of one or. Abstract. CHIONG QUESADA, Martín; BARRETO SUAREZ, Eduardo; CATALA LOPEZ, Lourdes María and PEREZ GONZALEZ, Marelén. Reverse colonic. Divertículo colónico invertido: un hallazgo endoscópico infrecuente. Citation data : Gastroenterologia y hepatologia, ISSN: , Vol: 31, Issue: 5, Page.

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Colonic diverticulosis refers to the presence of multiple diverticula. It is quite distinct from diverticulitis which describes inflammation and infection of one or multiple diverticula. Diverticulosis is very common in westernised countries and is typically found in older individuals. The vast majority of people with diverticulosis are asymptomatic. Nevertheless, since prevalence is djverticulo, diverticula are a common reason for presentation and admission to hospital.

Patients complain of intermittent left sided abdominal pain and frequent constipation. Symptomatic presenting features of diverticular disease i.

Colonic diverticula are almost all false diverticula: This herniation typically occurs where nutrient arteries enter colonco colon 1and therefore, are more common on the mesenteric side of the colon.

Divertículo colónico invertido: un hallazgo endoscópico infrecuente.

They are thought to relate to increased intraluminal pressure which may be a result of low volume stool. The colon is shortened and hypertrophied myochosis coli. There is also an increased incidence of diverticula amongst patients with connective tissue disorders, e.


Colonic diverticula are most common in the sigmoid doverticulo and, to a lesser extent, in the descending colon. In patients from Asia, right-sided diverticula are more common, and can either be single or multiple 3. The entity of giant colonic diverticulum is uncommon and usually arises from the sigmoid colon 3.

Both single and double contrast barium enemas diverticulk able to demonstrate diverticula as barium-filled outpouchings. When seen ‘ en face ‘ they can look similar to polyps but can be distinguished by the presence of contrast pooling within the diverticulum and forming a meniscus.

Diverticulosis | Diverticulitis | MedlinePlus

Even if seen on a recumbent overhead film, the two can usually be separated. Diverticula can be visualized as gas-filled outpouchings from the colon, especially if use of linear array probe is allowed by patient anatomy. Diverticula are usually outlined by gas. The colon may be thickened and shortened. On CT VR colonoscopy, they are seen as complete rings delineating the neck. The majority of patients remain asymptomatic throughout life and no treatment is required.

A high fiber diet may reduce the incidence of diverticula and rate of complications 7. Treatment is usually reserved for diverticulitis of diverticular hemorrhage. The differential for uncomplicated diverticula is small, but they do need to be differentiated from polyps on barium studies and CT virtual colonoscopy because of potentially similar appearances.


Additionally, when significant mural thickening is present due to muscular hypertrophy, diverticulosis need to be distinguished from colorectal carcinoma given the treatment implications.

Diverticulosis and Diverticulitis

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Edit article Share article View revision history. Synonyms or Alternate Divertixulo Diverticulosis Colonic diverticular disease Diverticular disease involving the colon. Support Radiopaedia and see fewer ads. Case 1 Case 1. Case 2 Case 2.

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Case 3 Case 3. Case 6 Case 6. Case 7 Case 7. CT virtual colonoscopy Case 9: Case 10 Case Case 11 Case Case 12 Case diverticul Case 13 Case Loading Stack – 0 images remaining.