GI Image

Journal of Gastrointestinal Surgery

, Volume 15, Issue 7, pp 1289-1291

First online:

Open Access This content is freely available online to anyone, anywhere at any time.

Gastrointestinal Image: A True Giant Transverse Colon Diverticulum

  • Marek OlakowskiAffiliated withDepartment of Digestive Tract Surgery, Medical University of Silesia
  • , Beata JabłońskaAffiliated withDepartment of Digestive Tract Surgery, Medical University of Silesia Email author 
  • , Andrzej LekstanAffiliated withDepartment of Digestive Tract Surgery, Medical University of Silesia
  • , Weronika Szczęsny-KarczewskaAffiliated withDepartment of Pathomorphology, Medical University of Silesia
  • , Joanna Pilch-KowalczykAffiliated withDepartment of Radiology, Medical University of Silesia
  • , Maciej KohutAffiliated withDepartment of Gastroenterology, Medical University of Silesia


Giant colonic diverticulum is an extremely rare condition in colonic diverticular disease. More than 90% of giant colonic diverticula are found in the sigmoid colon. Inflammatory and pseudodiverticula are the most frequent. Only one case of a true diverticulum of the transverse colon has been reported in the literature.

Case Report

We report a case of a 22-year-old woman presenting with constipation and meteorism from childhood. A plain abdominal X-ray showed a round radiolucent air-filled cyst. Barium enema revealed a single, large diverticulum of the transverse colon. An extended right hemicolectomy with primary end-to-end anastomosis was performed. The postoperative course was uneventful, and she was discharged in 1 week without any complications. Histopathology showed a true diverticulum containing all layers of the colon.


Giant colonic diverticulum Transverse colon Congenital duplication