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Popping the Balloon: A Giant Colonic Diverticulum Complicated by Bladder Neck Compression

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Abstract

Giant colonic diverticulum, defined as a single diverticulum ≤ 4 cm, is rarely encountered. Due to the high incidence of complications related to the disease, obtaining the correct diagnosis early in the disease course is essential. Diagnosis is usually reached by conventional and cross-sectional abdominal radiography. Treatment decisions should be ideally made by a multidisciplinary discussion among surgeons, interventional radiologists, and the patient. The treatment of choice is the surgical management by open or laparoscopic approach.

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Abbreviations

GCD:

Giant colonic diverticulum

C-RP:

C-reactive protein

CT:

Scan computed tomography scan

GI:

Gastro-intestinal

GERD:

Gastro-esophageal reflux disease

References

  1. Bonvin MMP, Bonte G. Diverticules giants due sigmoide. Arch Mal Appar Dig Mal Nutr. 1946;35:353–355. (in French).

    Google Scholar 

  2. Steenvoorde P, Vogelaar FJ, Oskam J, et al. Giant colonic diverticula. Review of diagnostic and therapeutic options. Dig Surg. 2004;21:1–6. discussion 6.

    Article  CAS  Google Scholar 

  3. Nigri G, Petrucciani N, Giannini G, et al. Giant colonic diverticulum: clinical presentation, diagnosis and treatment: systematic review of 166 cases. World J Gastroenterol. 2015;21:360–368.

    Article  Google Scholar 

  4. Roch PJ, Friedrich T, Bonninghoff R, et al. Laparoscopic resection of a giant colonic diverticulum: case report and review of the literature. Chirurg. 2017;88:682–686.

    Article  CAS  Google Scholar 

  5. Choong CK, Frizelle FA. Giant colonic diverticulum: report of four cases and review of the literature. Dis Colon Rectum. 1998;41:1178–1185. discussion 1185–1186.

    Article  CAS  Google Scholar 

  6. Heylen CE, Pringot J, Van Belle K. The lifting Balloon: sign of a giant colonic diverticulum. J Belg Soc Radiol. 2017;101:26.

    Article  Google Scholar 

  7. Praveen BV, Suraparaju L, Jaunoo SS, et al. Giant colonic diverticulum: an unusual abdominal lump. J Surg Educ. 2007;64:97–100.

    Article  CAS  Google Scholar 

  8. De Oliveira NC, Welch JP. Giant diverticula of the colon: a clinical assessment. Am J Gastroenterol. 1997;92:1092–1096.

    PubMed  Google Scholar 

  9. Rodríguez-Otero Luppi C, Rodríguez Blanco M, Bollo Rodríguez J, et al. Laparoscopic resection of a giant colonic diverticulum—the ‘lifting balloon’ sign—a video vignette. Colorectal Dis. 2019;21:1096–1098.

    Article  Google Scholar 

  10. Kam JC, Doraiswamy V, Spira RS. A rare case presentation of a perforated giant sigmoid diverticulum. Case Rep Med. 2013;2013:957152.

    PubMed  PubMed Central  Google Scholar 

  11. Ivanina E, Alizadeh A, Ansari P, et al. A rare endoscopic findings: severely ulcerated giant colonic diverticulum. Gastrointest Endosc. 2018;87:1159–1160.

    Article  Google Scholar 

  12. Zeina AR, Mahamid A, Nachtigal A, et al. Giant colonic diverticulum: radiographic and MDCT characteristics. Insights Imaging. 2015;6:659–664.

    Article  Google Scholar 

  13. Joyce DP, Toomey DP. Laparoscopic resection of giant pseudodiverticulum—a video vignette. Colorectal Dis. 2017;19:305–306.

    Article  CAS  Google Scholar 

  14. Chatora GT, Kumaran M. Giant colonic pseudo-diverticula. Importance of and aids to radiological diagnosis: a case series. Cases J. 2009;2:9314.

    Article  Google Scholar 

  15. Collin JE, Atwal GS, Dunn WK, et al. Laparoscopic-assisted resection of a giant colonic diverticulum: a case report. J Med Case Rep. 2009;3:7075.

    Article  Google Scholar 

  16. Mahamid A, Ashkenazi I, Sakran N, et al. Giant colon diverticulum: rare manifestation of a common disease. Isr Med Assoc J. 2012;14:331–332.

    PubMed  Google Scholar 

  17. Kim HJ, Kim JH, Moon OI, et al. Giant ascending colonic diverticulum presenting with intussusception. Ann Coloproctol. 2013;29:209–212.

    Article  Google Scholar 

  18. Liekens E, Mutijima Nzaramba E, Gerude B, et al. Giant colonic diverticulum: case report of a rare surgical condition. Acta Chir Belg. 2019;22:1–4.

    Google Scholar 

  19. Cardoso Louro H, Fonte Boa A, Lencastre L. Laparoscopic colorectal resection for a giant colonic diverticulum—a video vignette. Colorectal Dis. 2019;21:246–247.

    Article  CAS  Google Scholar 

  20. Gendy RK, Jeffery PJ. Giant diverticulum of colon treated by diverticulectomy. Hosp Med. 2000;61:362.

    Article  CAS  Google Scholar 

  21. Singh AK, Raman S, Brooks C, et al. Giant colonic diverticulum. Percutaneous computed tomography-guided treatment. J Comput Assist Tomogr. 2008;32:204–206.

    Article  Google Scholar 

Download references

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Authors and Affiliations

  1. Emergency Surgery Department, St. Orsola University Hospital, Bologna, Italy

    M. C. Ripoli, A. Lauro, A. Lanci-Lanci, M. Cervellera & V. Tonini

  2. Department of Surgical Sciences, La Sapienza University, Umberto I Hospital, Rome, Italy

    S. Vaccari & V. D’Andrea

  3. Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA

    I. R. Marino

  4. Clinicas Dr Carla Barber, Madrid, Spain

    G. Mastrocola

Authors
  1. M. C. Ripoli
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  2. A. Lauro
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  3. S. Vaccari
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  4. G. Mastrocola
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  5. A. Lanci-Lanci
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  6. V. D’Andrea
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  7. I. R. Marino
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  8. M. Cervellera
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  9. V. Tonini
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Corresponding author

Correspondence to A. Lauro.

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Ripoli, M.C., Lauro, A., Vaccari, S. et al. Popping the Balloon: A Giant Colonic Diverticulum Complicated by Bladder Neck Compression. Dig Dis Sci 66, 41–44 (2021). https://doi.org/10.1007/s10620-020-06606-7

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  • DOI: https://doi.org/10.1007/s10620-020-06606-7

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