Fousekis F, Siebler J, Rath T, Hartmann A, Neurath M, Vieth M, Atreya R (2026)
Publication Type: Journal article
Publication year: 2026
Book Volume: 17
Pages Range: 1764305-
DOI: 10.3389/fimmu.2026.1764305
Segmental colitis associated with diverticulosis (SCAD) is a rare inflammatory condition limited to colonic segments affected by diverticulosis. Its coexistence with ulcerative colitis (UC) is extremely rare and poses a diagnostic and therapeutic challenge. We report the case of a 56-year-old woman with a history of sigmoidectomy for recurrent sigmoid diverticulitis, who subsequently developed SCAD in the residual diverticula adjacent to the anastomosis, along with concomitant left-sided UC. Despite treatment with mesalazine and vedolizumab and rectal healing of UC, SCAD was therapy-refractory. The use of the anti-TNF antibody adalimumab, intensified to 40 mg weekly, resulted in complete clinical, endoscopic, and histologic remission of both SCAD and UC. At five years of follow-up to date, the patient remains in sustained, steroid-free remission without adverse events. This case highlights the possible coexistence of SCAD and UC and suggests adalimumab as a promising and sustained treatment option in refractory SCAD, even in the setting of coexisting UC.
APA:
Fousekis, F., Siebler, J., Rath, T., Hartmann, A., Neurath, M., Vieth, M., & Atreya, R. (2026). Case Report: Successful anti-TNF antibody therapy in steroid-dependent segmental colitis associated with diverticulosis and concomitant ulcerative colitis. Frontiers in Immunology, 17, 1764305-. https://doi.org/10.3389/fimmu.2026.1764305
MLA:
Fousekis, Fotios, et al. "Case Report: Successful anti-TNF antibody therapy in steroid-dependent segmental colitis associated with diverticulosis and concomitant ulcerative colitis." Frontiers in Immunology 17 (2026): 1764305-.
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