The Evaluation of The Presence of Colonic Diverticulum in Patients with Abdominal Aortic Aneurysm

Year 2023, Volume: 6 Issue: 2, 276 - 279, 31.08.2023

Özlem Çakırköse , Ahmet Dülger , Derya Seven , Alptekin Tosun , Ugur Kesıcı

https://doi.org/10.36516/jocass.1298353

Abstract

Aim: The evaluation of the relationship between the aortic aneurysm and colonic diverticulum in the tomography images of the patients followed-up for abdominal aortic aneurysm
Methods: The tomographic images of 97 patients (Female/Male:20/77) aged between 40-88 years with/without abdominal aortic aneurysm and colonic diverticulum were analyzed. Abdominal aortic diameters were analyzed by categorizing them as 20-29 mm, 30-49 mm, and 50 mm over, and the presence of colonic diverticulum in the abdominal aorta with these diameters. The presence of plaque, narrowing, and dilatation in ascending, descending, and abdominal parts of the aorta was evaluated, and the levels of arterial plaque, narrowing, and stenosis in the inferior and superior mesenteric arteries supplying the intestine were assessed.
Results: The rate of colonic diverticulum was found to be significantly lower in the tomographic images of the patients with normal abdominal aortic diameter. It was found that the frequency of colonic diverticulum increased as the abdominal aortic diameter increased from 29 mm to 50 mm and above.
Conclusion: The probability of detection of colonic diverticulum increases as the diameter of the abdominal aorta increases.

Keywords

Abdominal aortic aneurysm, colonic diverticulum, tomography

Abdominal aortik anevrizmalı hastalarda kolonik divertikül varlığının değerlendirilmesi

Abstract

Giriş: Abdominal aort anevrizması nedeniyle takip edilen hastaların tomografi görüntülerinde aort anevrizması ile kolon divertikülü arasındaki ilişkinin değerlendirilmesi
Gereç ve Yöntemler: Abdominal aort anevrizması ve kolon divertikülü olan/olmayan 40-88 yaş arası toplam 97 hastanın (Kadın/Erkek:20/77) tomografik görüntüleri analiz edildi. Abdominal aort çapları 20-29 mm, 30-49 mm ve 50 mm üzeri olarak sınıflandırılarak ve bu çaplarda abdominal aortta kolonik divertikül varlığı incelendi. Aortun çıkan, inen ve abdominal bölgelerinde plak varlığı, daralma ve genişleme olup olmadığı, bağırsağı besleyen alt ve üst mezenterik arterlerdeki arteriyel plak, daralma ve darlık düzeyleri değerlendirildi.
Sonuç: Abdominal aort çapı normal olan hastaların tomografik görüntülerinde kolon divertikül oranı anlamlı olarak düşük bulundu. Abdominal aort çapının 29 mm'den 50 mm ve üzerine çıktıkça gastrik divertikül sıklığının dahada arttığı bulundu.
Tartışma: Abdominal aort çapı arttıkça kolon divertikülü saptanma olasılığı artmaktadır.

Keywords

Abdominal aort anevrizması, kolon divertikülü, tomografi

References

• 1. Kurtoğlu Ea, Açıkgöz Nb. Aort Anevrizmaları: Tanı ve Medikal Tedavi. Turkiye Klinikleri Cardiology- Special Topics. Turkiye Klinikleri J Cardiol- Special Topics. 2016;9(1):6-12.
• 2. Kutsioğlu T. Aort anevrizmaları ve diseksiyonlarında anestezi yöntemi. Kalp ve anestezi Bölüm 21. Sf 417-432.
• 3. Zhang P, Hou S, Chen J, Zhang J, Lin F, Ju R, et al. Smad4 Deficiency in Smooth Muscle Cells Initiates the Formation of Aortic Aneurysm. 2016 Feb 5;118(3):388-99.
• 4. Shlyakhovsky IA, Yartsev PA, Bognitskaya TV, Gurtsiev MK, Eletskaya ES, Koroshvili VT, et al. Diagnosis and surgical treatment of symptomic stomach diverticulum. 2020;(4):70-73.
• 5. Strate LL, Modi R, Cohen E, Spiegel BM. Diverticular disease as a chronic illness: evolving epidemiologic and clinical insights. Am J Gastroenterol 2012; 107:1486–93.
• 6. Groff A1, Walsh L2, Singh M2, Jain R2. Juxtapapillary duod nal diverticulitis in an elderly female. BMJ Case Rep. 2019 Apr 12;12(4).
• 7. Demircioğlu MK, Demircioglu ZG, Celayir MF, Mihmanli M, Kaya C. The Effects of Diverticulum Localization and Hinchey Classification on Recurrence and Complications in Acute Colonic Diverticulitis. Med Bull Sisli Etfal Hosp. 2020; 54(4): 451-456.
• 8. Anders MC1, Jes SL2, Axel D3, Flemming HS4, Martin B4, Lars F5 et al. Association Between Diverticular Disease and Abdominal Aortic Aneurysms: Pooled Analysis of Two Population Based Screening Cohorts. Journal of Vascular Surgery. Eur J Vasc Endovasc Surg. 2017 Dec;54(6):772-777.
• 9. J Toghill B 1, Saratzis A 2, J Bown M 2. Abdominal aortic aneurysm-an independent disease to atherosclerosis? Cardiovasc Pathol. Mar-Apr 2017; 27:71-75.
• 10. Chisci E, Alamanni N, Iacoponi F, Michelagnoli S, Procacci T, Colombo G, et al. Grading abdominal aortic aneurysm rupture risk. Cardiovasc Surg (Torino). 2018 Feb;59(1):87-94.
• 11. Seo GS, Choi SC. Diagnosis and Treatment of Colon Diverticulitis. Korean J Med 2013;85(6):563-570.