Giant colonic diverticulum

Case contributed by Dr Domenico Nicoletti

Presentation

Abdominal pain with hypogastric mass palpation.

Patient Data

Age: 77
Gender: Male
CT

CT abdomen with contrast

Voluminous diverticulum of the proximal sigmoid colon at the lower surface on the antimesenteric side filled with stools compress the bladder dome. Uncomplicated diverticula are detectable along the descending colon. No pneumoperitoneum is present.

Case Discussion

The giant diverticulum of the colon is a rare entity. It is normally located on the antimesenteric border of the sigmoid colon. In most cases, it is considered to be an uncommon complication of a colonic diverticulosis. 

Therapy: left hemicolectomy.

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Case information

rID: 55078
Case created: 17th Aug 2017
Last edited: 20th Aug 2017
Inclusion in quiz mode: Included

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