Short Occult Retractile Fibrous Scar Causing Exclusive Retrograde Stenosis of the Sigmoid Colon: An Incidental Diagnosis Nineteen Years After a Single Episode of Colonic Diverticulitis
| Autor: | Raphael Rubay, Isabelle Gielen, Philippe Maldague, Bruno Coulier |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
lcsh:Medical physics. Medical radiology. Nuclear medicine
medicine.medical_specialty lcsh:R895-920 Case Report Asymptomatic 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Abdomen medicine Colon stenosis Diverticulosis Chronic diverticulitis ultrasound business.industry CT Virtual colonoscopy Fecal occult blood Sigmoid colon Diverticulitis medicine.disease Occult Surgery Stenosis medicine.anatomical_structure 030211 gastroenterology & hepatology Radiology medicine.symptom business |
| Zdroj: | Journal of the Belgian Society of Radiology Journal of the Belgian Society of Radiology, Vol 100, Iss 1 (2016) Journal of the Belgian Society of Radiology; Vol 100, No 1 (2016); 31 |
| ISSN: | 1780-2393 |
| DOI: | 10.5334/jbr-btr.933 |
| Popis: | We report a rare case of purely retrograde stenosing stricture of the sigmoid descending colonic junction fortuitously diagnosed during the waning of a failed virtual colonoscopy in a 69-year-old patient. The rather asymptomatic patient was addressed to investigate a positive fecal occult blood test. He had suffered a single acute colonic diverticulitis episode 19 years before. A contrast-enhanced abdominal CT and complementary focused abdominal ultrasound fully diagnosed a short curvilinear contrast-enhancing “scar-like” tissue infiltrating the posterior colonic wall and developing retractile adherences with the retroperitoneum of the left iliac fossa. The imaging features are presented with pathologic correlation. |
| Databáze: | OpenAIRE |
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