Look Out before Polypectomy in Patients with Diverticular Disease – A Case of a Large, Inverted Diverticulum of the Colon Resembling a Pedunculated Polyp
Diverticular disease of the colon may be responsible for abdominal symptoms requiring colonoscopy, which may reveal the presence of concomitant polyps. A polyp found during colonoscopy in patients with colonic diverticular disease may be removed by endoscopic polypectomy with electrosurgical snare,...
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| Format: | Article |
| Language: | English |
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Wiley
2010-01-01
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| Series: | Canadian Journal of Gastroenterology |
| Online Access: | http://dx.doi.org/10.1155/2010/158275 |
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| author | Omero Alessandro Paoluzi Claudio Tosti Fabio Andrei Italo Stroppa Francesco Pallone |
| author_facet | Omero Alessandro Paoluzi Claudio Tosti Fabio Andrei Italo Stroppa Francesco Pallone |
| author_sort | Omero Alessandro Paoluzi |
| collection | DOAJ |
| description | Diverticular disease of the colon may be responsible for abdominal symptoms requiring colonoscopy, which may reveal the presence of concomitant polyps. A polyp found during colonoscopy in patients with colonic diverticular disease may be removed by endoscopic polypectomy with electrosurgical snare, a procedure associated with an incidence of perforation of less than 0.05%. The risk of such a complication may be higher in the event of an inverted colonic diverticulum, which may be misinterpreted as a polypoid lesion at colonoscopy. To date, fewer than 20 cases of inverted colonic diverticula, diagnosed at colonoscopy or following air contrast barium enema, have been reported in the literature. The present report describes a 68-year-old woman who underwent a screening colonoscopy, which revealed a voluminous pedunculated polyp that was recognized to be an inverted giant colonic diverticulum before endoscopic polypectomy. |
| format | Article |
| id | doaj-art-ccc535ddbb274ff88f8add43ffa75727 |
| institution | DOAJ |
| issn | 0835-7900 |
| language | English |
| publishDate | 2010-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Canadian Journal of Gastroenterology |
| spelling | doaj-art-ccc535ddbb274ff88f8add43ffa757272025-08-20T03:19:31ZengWileyCanadian Journal of Gastroenterology0835-79002010-01-01241616310.1155/2010/158275Look Out before Polypectomy in Patients with Diverticular Disease – A Case of a Large, Inverted Diverticulum of the Colon Resembling a Pedunculated PolypOmero Alessandro Paoluzi0Claudio Tosti1Fabio Andrei2Italo Stroppa3Francesco Pallone4Gastrointestinal Unit, Centre of Excellence for the Study of Complex and Multifactorial Diseases, Department of Internal Medicine, Tor Vergata University, Rome, ItalyGastrointestinal Unit, Centre of Excellence for the Study of Complex and Multifactorial Diseases, Department of Internal Medicine, Tor Vergata University, Rome, ItalyGastrointestinal Unit, Centre of Excellence for the Study of Complex and Multifactorial Diseases, Department of Internal Medicine, Tor Vergata University, Rome, ItalyGastrointestinal Unit, Centre of Excellence for the Study of Complex and Multifactorial Diseases, Department of Internal Medicine, Tor Vergata University, Rome, ItalyGastrointestinal Unit, Centre of Excellence for the Study of Complex and Multifactorial Diseases, Department of Internal Medicine, Tor Vergata University, Rome, ItalyDiverticular disease of the colon may be responsible for abdominal symptoms requiring colonoscopy, which may reveal the presence of concomitant polyps. A polyp found during colonoscopy in patients with colonic diverticular disease may be removed by endoscopic polypectomy with electrosurgical snare, a procedure associated with an incidence of perforation of less than 0.05%. The risk of such a complication may be higher in the event of an inverted colonic diverticulum, which may be misinterpreted as a polypoid lesion at colonoscopy. To date, fewer than 20 cases of inverted colonic diverticula, diagnosed at colonoscopy or following air contrast barium enema, have been reported in the literature. The present report describes a 68-year-old woman who underwent a screening colonoscopy, which revealed a voluminous pedunculated polyp that was recognized to be an inverted giant colonic diverticulum before endoscopic polypectomy.http://dx.doi.org/10.1155/2010/158275 |
| spellingShingle | Omero Alessandro Paoluzi Claudio Tosti Fabio Andrei Italo Stroppa Francesco Pallone Look Out before Polypectomy in Patients with Diverticular Disease – A Case of a Large, Inverted Diverticulum of the Colon Resembling a Pedunculated Polyp Canadian Journal of Gastroenterology |
| title | Look Out before Polypectomy in Patients with Diverticular Disease – A Case of a Large, Inverted Diverticulum of the Colon Resembling a Pedunculated Polyp |
| title_full | Look Out before Polypectomy in Patients with Diverticular Disease – A Case of a Large, Inverted Diverticulum of the Colon Resembling a Pedunculated Polyp |
| title_fullStr | Look Out before Polypectomy in Patients with Diverticular Disease – A Case of a Large, Inverted Diverticulum of the Colon Resembling a Pedunculated Polyp |
| title_full_unstemmed | Look Out before Polypectomy in Patients with Diverticular Disease – A Case of a Large, Inverted Diverticulum of the Colon Resembling a Pedunculated Polyp |
| title_short | Look Out before Polypectomy in Patients with Diverticular Disease – A Case of a Large, Inverted Diverticulum of the Colon Resembling a Pedunculated Polyp |
| title_sort | look out before polypectomy in patients with diverticular disease a case of a large inverted diverticulum of the colon resembling a pedunculated polyp |
| url | http://dx.doi.org/10.1155/2010/158275 |
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