Abstract
A giant colonic diverticulum (GCD) is a rare presentation of diverticular disease of the colon that usually necessitates surgery. The case described is of a GCD that became symptomatic due to rapid enlargement caused by an intracolonic bleed. GCD usually presents with abdominal pain and a palpable periumbilical or pelvic mass. Radiological imaging shows a large gas-filled cyst associated with the colon. Surgical resection with sigmoid colectomy is usually performed to alleviate symptoms and prevent later perforation.
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References
Praveen BV, Suraparaju L, Jaunoo SS, Tang T, Walsh SR, Ogunbiyi OA. Giant colonic diverticulum: an unusual abdominal lump. J Surg Educ 2007;64(2):97-100.
Naing T, Ray S, Loughran CF. Giant sigmoid diverticulum: a report of three cases. Clin Radiol 1999;54:179-181.
Custer TL, Blevins DV, Vara TM. Giant colonic diverticulum: a rare manifestation of a common disease. J Gastrointest Surg 1999;3:543-548.
Choong CK, Frizelle FA. Giant colonic diverticulum—report of four cases and review of the literature. Dis Colon Rectum 1998;41:1178-1186.
Kricum R, Stastik JJ, Reither RD, Dex WJ. Giant colonic diverticulum. Am J Roentgenol 1980;135:507-512.
De Oliveira NC, Welch JP. Giant diverticula of the colon: a clinical assessment. Am J Gastroenterol. 1997;92:1092-1096.
Rosenberg RF, Naididh JB. Plain film recognition of giant colonic diverticulum. Am J Gastroenterol 1981;76(1):59-69.
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Beddy, D., DeBlacam, C. & Mehigan, B. An Unusual Cause of an Acute Abdomen—a Giant Colonic Diverticulum. J Gastrointest Surg 14, 2016–2017 (2010). https://doi.org/10.1007/s11605-010-1235-6
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DOI: https://doi.org/10.1007/s11605-010-1235-6