Acta chirurgica Belgica · 2019
Giant colonic diverticulum: case report of a rare surgical condition.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Liekens Ellen, Mutijima Nzaramba Eugène, Geurde Bernard, Seydel Benoît, Jourdan Jean-Luc
Аннотация
INTRODUCTION: Diverticular disease is a common disorder of the colon with an extremely rare presentation: giant colonic diverticulum (GCD). GCD is defined as a diverticulum measuring 4 cm or larger and affects the sigmoid colon in 90% of the cases.
PATIENTS: We report on a case of a 74-year-old woman with a GCD.
METHODS: We present a case report of a 74-year-old woman with a GCD. A brief review of the literature concerning clinical presentation, diagnosis, differential diagnosis, pathogenesis, histological classification and treatment of GCD will be discussed.
RESULTS: Our patient was treated according to the available information in the literature. The outcome was uneventful.
CONCLUSIONS: GCD is a rare presentation of diverticular disease. Because of the risk of serious complications, a correct diagnosis and treatment is essential. The investigations of choice include a plain abdominal X-ray and an abdominal CT scan. Surgical treatment is the treatment of choice with preferably a colectomy with en-bloc resection of the diverticulum.
PATIENTS: We report on a case of a 74-year-old woman with a GCD.
METHODS: We present a case report of a 74-year-old woman with a GCD. A brief review of the literature concerning clinical presentation, diagnosis, differential diagnosis, pathogenesis, histological classification and treatment of GCD will be discussed.
RESULTS: Our patient was treated according to the available information in the literature. The outcome was uneventful.
CONCLUSIONS: GCD is a rare presentation of diverticular disease. Because of the risk of serious complications, a correct diagnosis and treatment is essential. The investigations of choice include a plain abdominal X-ray and an abdominal CT scan. Surgical treatment is the treatment of choice with preferably a colectomy with en-bloc resection of the diverticulum.