A Case of Filiform Polyposis Developed in the Colon with Multiple Diverticula Tatsuro Mugitani 1 , Seiji Shimizu 2 , Yutarou Egashira 3 , Yukiko Kawaura 2 , Ryuki Minami 2 , Sayaka Miyake 2 , Chihiro Yokomizo 2 , Takahiro Mori 2 , Yoshikazu Shimode 1 , Eiwa Ishida 4 , Shingo Ishiguro 5 1Department of Surgery, JR West Osaka Railway Hospital, Osaka, Japan 2Department of Gastroenterology, JR West Osaka Railway Hospital, Osaka, Japan 3Department of Pathology, Osaka Medical College, Takatsuki, Japan 4Division of Pathology, JR West Osaka Railway Hospital, Osaka, Japan 5PCL Osaka Pathology & Cytology Center, Ibaraki, Japan Keyword: 大腸憩室 , 憩室炎 , filiform polyposis , 注腸X線 , 大腸内視鏡 pp.1127-1134
Published Date 2012/6/25
DOI https://doi.org/10.11477/mf.1403113526
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 An asymptomatic 53 year-old man underwent abdominal computed tomography for postoperative follow-up of gastric cancer, and wall thickening of the ascending colon was demonstrated. Barium enema X-ray and colonoscopy revealed aggregated finger-like projections in the ascending colon and diverticula on the both sides. Two years later, abdominal pain and diarrhea developed and worsened. The lesion in the ascending colon become enlarged and narrowing of the lumen was also observed ; gradual stricture with mucosal irregularity appeared at the distal portion of the descending colon. Right hemicolectomy was performed ; histological diagnosis was filiform polyposis complicated by diverticula and intramural abscess. One year later, he was readmitted due to obstruction of the descending colon and bowel resection was performed again. The stenosis was caused by a lesion similar to the previous one. This case was the first one in which the developing process of filiform polyposis in the colon with multiple diverticula was traced by barium enema X-ray and colonoscopy.

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