Year 2023 / Volume 115 / Number 9
Letter
Giant sigmoid diverticulum

536-537

DOI: 10.17235/reed.2023.9804/2023

María de Armas-Conde, Ricardo Hernández-Alonso, Vanessa Concepción-Martín, Jorge Abellán-Fernández, Javier Padilla-Quintana, Alejandro Menéndez-Moreno, Leynis Isabel Martínez-Blanco, Manuel Ángel Barrera-Gómez,

Abstract
Unlike acute diverticulitis, giant diverticulum larger than 4 cm is a rare entity with few cases described in the literature. We present a case of a 66-year-old male patient diagnosed with colonic diverticulosis. He presented to the emergency department with symptoms of acute abdomen and was diagnosed by CT scan with a 13x14 cm giant diverticulum showing signs of complication. Given the findings, an urgent surgical intervention was decided, and diverticulectomy at the diverticular neck was performed using an endostapler. The etiology of giant diverticula is related to a mechanism of one-way valve at the diverticular neck. Diagnosis poses a challenge as the clinical presentation is nonspecific. The imaging modality of choice is CT scan, which reveals a large cystic image dependent on the sigmoid colon. Definitive treatment is surgical, either by resecting the affected segment including the lesion or by performing a simple diverticulectomy in uncomplicated cases.
Share Button
New comment
Comments
No comments for this article
References
Strate LL, Morris AM. Epidemiology, Pathophysiology, and Treatment of Diverticulitis. Gastroenterology. 2019 Apr;156(5):1282-1298.e1.
González-Valverde FM, Madrid-Baños B, Ruiz-Marín M. Giant Diverticulum of the Sigmoid Colon. J Gastrointest Surg. 2021 May;25(5):1347-1349.
Macht R, Sheldon HK, Fisichella PM. Giant Colonic Diverticulum: a Rare Diagnostic and Therapeutic Challenge of Diverticular Disease. J Gastrointest Surg. 2015 Aug;19(8):1559-60.
Molière S, Romain B, Triki E. Big gas bubble in the belly: Beware of giant sigmoid diverticulum. Surgery. 2017 Dec;162(6):1334-1335.
Rodríguez Jiménez J, Iglesias Sobrino C, García Solo de Zaldívar FJ, Pérez Hernández FA. Complicated giant colonic diverticulum: imaging-based diagnosis. Rev Esp Enferm Dig. 2022 Dec 23;115. doi: 10.17235/reed.2022.9312/2022.
Related articles
Citation tools
de Armas-Conde M, Hernández-Alonso R, Concepción-Martín V, Abellán-Fernández J, Padilla-Quintana J, Menéndez-Moreno A, et all. Giant sigmoid diverticulum. 9804/2023


Download to a citation manager

Download the citation for this article by clicking on one of the following citation managers:

Metrics
This article has received 1321 visits.
This article has been downloaded 102 times.

Statistics from Dimensions


Statistics from Plum Analytics

Publication history

Received: 26/06/2023

Accepted: 05/07/2023

Online First: 04/08/2023

Published: 06/09/2023

Article Online First time: 39 days

Article editing time: 72 days


Share
This article hasn't been rated yet.
Reader rating:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
Cookie policy Privacy Policy Legal Notice © Copyright 2024 y Creative Commons. The Spanish Journal of Gastroenterology