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Evidence-based Treatment with Chronic Colonic Diverticulitis: A Case Report

Authors :
YU Ziqing
TANG Xiaoyan
WU Bin
YANG Hong
Source :
Xiehe Yixue Zazhi, Vol 14, Iss 1, Pp 209-214 (2023)
Publication Year :
2023
Publisher :
Editorial Office of Medical Journal of Peking Union Medical College Hospital, 2023.

Abstract

Colonic diverticulitis is a common gastrointestinal disease which can be acute or chronic in course. In this paper we report the management of a patient with chronic colonic diverticulitis. The patient had an atypical clinical presentation, whose imaging showed a high likelihood of occupying lesions. PET/CT showed hypermetabolism focus and colonoscopy saw mucosal thickening, pathological return of inflammation in the acute phase, which were difficult in differential diagnosis with colorectal cancer and inflammatory bowel disease. After comprehensive consideration, follow-up observation was recommended and the diagnosis was finally clarified. The management of this patient demonstrates the importance of evidence-based medicine in the diagnosis and treatment of diseases.

Details

Language :
Chinese
ISSN :
16749081
Volume :
14
Issue :
1
Database :
Directory of Open Access Journals
Journal :
Xiehe Yixue Zazhi
Publication Type :
Academic Journal
Accession number :
edsdoj.5b7e3c442ff418989f41493014e3b2b
Document Type :
article
Full Text :
https://doi.org/10.12290/xhyxzz.2022-0585