Transverse Colon Diverticulitis with Calcified Fecalith

Abstract

Left colonic diverticula are common in Western populations, whereas right colonic diverticulosis primarily occurs in Oriental populations. Diverticulitis of the transverse colon is very rare, with very few cases reported in the literature. Herein, we report a case of transverse colon diverticulitis caused by a calcified stone in a 69-year-old female. This was a solitary diverticulum. The signs and symptoms of the disease are similar to acute pancreatitis. To the best of our knowledge, this is the first report describing the MRI findings of a patient with transverse colon diverticulitis caused by a calcified stone. Key Words: Diverticulitis, Fecalith, Transverse colon ÖzetDivertiküller sıklıkla batı ülkelerinde sol kolonda doğu ülkelerinde sağ kolonda yerleşirler. Transvers kolonda divertikülit son derece nadirdir ve literatürde çok az olguda bildirilmiştir. Biz burada 69 yaşındaki bayan hastada kalsifiye fekalitin yol açtığı transvers kolon divertikülitini sunuyoruz.Lezyon soliterdir. Hastalığın bulguları akut pankreatite benzemektedir. Bildiğimiz kadarıyla, bu olgu sunumu, kalsifiye fekalitin yol açtığı transvers kolon divertikülitinin MR bulgularının tanımlandığı ilk yazıdır.

Calcified Diverticula in the Setting of Per Rectal Bleed

“…Another explanation of the CT findings could be calcified fecaliths, usually formed from a stasis of feces that have become inspissated or thick in consistency, calcified, and then difficult to dispel. They can be stuck in appendiceal openings or diverticula causing impaction and in rare cases, profuse colonic bleeding [7]. However, they usually are 1-2 in number versus the multiple ones our patient displayed.…”

Single-incision laparoscopic ileocolectomy for solitary cecal colon diverticulitis with calcified fecalith: a case report

“…There is no mention of the relationship between diverticulitis and fecalith in the guidelines. Few studies have shown that fecalith may result in diverticulitis and become calcified and visible [ 3 ]. The entrapped stool can transform into a fecalith of harder consistency, which can mechanically irritate the mucosal lining, resulting in a ‘stercoral trauma’ of the epithelial lining [ 5 ].…”

“…In Japan, opportunities to treat patients with colonic diverticular disease (diverticular bleeding and diverticulitis) have been increasing in recent years because the prevalence of colonic diverticula has increased [ 1 ] A solitary cecal diverticulum is considered to be congenital in etiology, and a true diverticulum is defined as a projection, including the mucosa, submucosa and muscularis propria [ 2 ]. To our knowledge, a few studies have shown that fecalith may result in diverticulitis and become calcified and visible [ 3 ]. Herein, we report a patient, in whom the fecalith became calcified and visible; therefore, we were able to make an appropriate preoperative diagnosis.…”

Rare case of fecal impaction caused by a fecalith originating in a large colonic diverticulum: A case report

“…Cases of transverse colon diverticulitis with a fecalith have only rarely been reported[ 12 ]. Furthermore, there is no previously published study showing a fecalith that had originated in a transverse colonic diverticulum and had caused impaction in the distal colon, as far as we could determine based on a database search of PubMed using the following terms: Diverticulum and (fecalith or “stercoral colitis”).…”