The ultrasonographic detection of colonic diverticula
, which appear as rounded protrusions of the colonic wall, is not pathognomonic for acute diverticulitis but only identifies the anatomical presence of colonic diverticula
Colonic diverticula are common, and they are important because of complications such as hemorrhage, perforation, and inflammation.
Despite this, we know very little about risk factors for colonic diverticula," Dr.
Each participant had a detailed examination for colonic diverticula, with a research assistant present during the entire colonoscopy.
The diverticula in left-sided colonic are usually acquired and multiple while right-sided colonic diverticula
are mostly congenital and solitary.
Scattered colonic diverticula
were noted, without adjacent inflammatory change to suggest acute diverticulitis.
I reasoned that surely if a first year medical student, with no knowledge whatsoever of pathology, could observe diverticula with such ease, there would be brilliant descriptions of colonic diverticula and their complications in the writings of the great 17th, 18th and early 19th century clinicians and pathologists of the past.
For example, in his paper on diverticula of the alimentary canal, published in 1910, Sir Arthur Keith could only find seven examples of colonic diverticula in the pathological museums of all the London teaching hospitals and the Hunterian Museum, of which he was curator.
Most cases of bleeding from colonic diverticula
Akin to the pathogenesis of colonic diverticula
, abnormalities in peristalsis, intestinal dyskinesia, and high intraluminal pressures are thought to play a role.
Peery of the University of North Carolina at Chapel Hill, and her colleagues looked at 539 patients with colonic diverticula
and 1,569 controls, all culled from the Vitamin D and Calcium Polyp Prevention Study, a double-blind, placebo-controlled trial of vitamin D and calcium for the prevention of colonic adenomas (Clin.
43) Nonsteroidal anti-inflammatory medications may cause perforation or bleeding of colonic diverticula
, have been implicated in relapse to inflammatory bowel disease and the development of CC, and may exacerbate bleeding of colonic angiodysplasia.