Perforation of sigmoid diverticulum following endoscopic polypectomy of an adenoma

BMJ Case Rep. 2010:2010:bcr07.2009.2077. doi: 10.1136/bcr.07.2009.2077. Epub 2010 Mar 30.

Abstract

Colonic polyps or carcinomas located within a colonic diverticulum are very rare phenomena. There are a few reports in the literature describing adenocarcinoma arising within colonic diverticulum. Endoscopic resection of the polyp poses a risk of perforation because of the lack of muscular coats in the diverticulum. Therefore, special care should be taken in the treatment of such patients.