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Published on: July 12, 2018
Giant colonic diverticulum
P Neary1, V Kurli, A Nicholson
1Academic Surgical Unit, Castlehill Hospital, Hull, East Yorkshire, UK. paulneary@yahoo.com
Background:
Over 100 giant colonic diverticuli have been recorded in the literature to date. The magnetic resonance imaging (MRI) and pathophysiology of their aetiology have rarely been described.
Aim:
To report a giant colonic diverticulum along with the MRI of this clinical entity.
Results:
An 87 year old female presented with symptoms of tenesmus, urgency and alteration in bowel habit. A type I giant colonic diverticulum was diagnosed and a segmental colonic surgical resection was performed. The plain abdominal radiograph, barium enema and MRI, along with classification and management options are presented.
Conclusion:
Giant colonic diverticuli are rare surgical curiosities that may be successfully treated with either primary segmental or extended colonic resection.
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