A giant sigmoid diverticulum presenting as an upper abdominal mass

Area of Science:

• Gastroenterology
• Surgical Case Reports
• Abdominal Imaging

Background:

• Diverticular disease is common, but giant diverticula are rare.
• Giant diverticula can present atypically, mimicking other abdominal pathologies.
• Complications of diverticular disease require prompt diagnosis and management.

Observation:

• An elderly male presented with a left upper quadrant abdominal mass.
• The mass was identified intraoperatively as a giant diverticulum of the sigmoid colon.
• The diverticulum was located in the supracolic compartment.

Findings:

• Computed tomography (CT) scan is the imaging modality of choice for diagnosis.
• Giant sigmoid colon diverticula represent a rare complication of diverticular disease.
• Surgical management is indicated for giant diverticula to prevent complications.

Implications:

• This case underscores the importance of considering rare presentations of common diseases.
• Prompt diagnosis via CT scan and early surgical intervention are vital for favorable outcomes.
• Understanding rare diverticular complications aids in clinical decision-making and patient management.