Volume 14 Issue 1
Jan.  2023
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YU Ziqing, TANG Xiaoyan, WU Bin, YANG Hong. Evidence-based Treatment with Chronic Colonic Diverticulitis: A Case Report[J]. Medical Journal of Peking Union Medical College Hospital, 2023, 14(1): 209-214. doi: 10.12290/xhyxzz.2022-0585
Citation: YU Ziqing, TANG Xiaoyan, WU Bin, YANG Hong. Evidence-based Treatment with Chronic Colonic Diverticulitis: A Case Report[J]. Medical Journal of Peking Union Medical College Hospital, 2023, 14(1): 209-214. doi: 10.12290/xhyxzz.2022-0585

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

doi: 10.12290/xhyxzz.2022-0585
Funds:

National Natural Science Foundation of China 81970495

Natural Science Foundation of Beijing 7202161

The Capital Health Research and Development of Special 2022-2-4014

CAMS Innovation Fund for Medical Sciences 2021-I2M-1-001

More Information
  • Corresponding author: YANG Hong, E-mail: yangh@pumch.cn
  • Received Date: 2022-10-09
  • Accepted Date: 2022-12-14
  • Publish Date: 2023-01-30
  • 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.
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