Giant colon diverticulum

Summary Giant colonic diverticulum is defined by a diverticulum whose diameter is greater than 4 cm. This is a rare entity, arising mainly in the sigmoid colon. The diagnosis is based on abdominal computed tomography that shows a gas-filled structure communicating with the adjacent colon, with a smo...

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Bibliographic Details
Published in:Journal of visceral surgery 2015-11, Vol.152 (5), p.336-338
Main Authors: Chater, C, Saudemont, A, Zerbib, P
Format: Article
Language:English
Subjects:
Aged
Colectomy - methods
Colon, Sigmoid - diagnostic imaging
Colon, Sigmoid - pathology
Colon, Sigmoid - surgery
Diverticulum, Colon - diagnostic imaging
Diverticulum, Colon - pathology
Diverticulum, Colon - surgery
Humans
Male
Surgery
Tomography, X-Ray Computed
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Summary:Summary Giant colonic diverticulum is defined by a diverticulum whose diameter is greater than 4 cm. This is a rare entity, arising mainly in the sigmoid colon. The diagnosis is based on abdominal computed tomography that shows a gas-filled structure communicating with the adjacent colon, with a smooth, thin diverticular wall that does not enhance after injection of contrast. Surgical treatment is recommended even in asymptomatic diverticula, due to the high prevalence and severity of complications. The gold standard treatment is segmental colectomy. Some authors propose a diverticulectomy when the giant diverticulum is unique.
ISSN:1878-7886
1878-7886
DOI:10.1016/j.jviscsurg.2015.06.002