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Related Concept Videos

Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

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Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
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Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

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Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
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Appendicitis-I: Introduction01:22

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The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
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Related Experiment Video

Updated: Apr 15, 2026

The Pocket-Creation Procedure of Endoscopic Submucosal Dissection for Large Rectal Laterally Spreading Tumors
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Giant sigmoid diverticulum: A case report.

Pramod Durgakeri1, Paul Strauss1

  • 1Department of Surgery, Central Gippsland Health Service, Sale, VIC, Australia.

The Australasian Medical Journal
|April 15, 2015
PubMed
Summary

Giant sigmoid diverticula (GSDs) can enlarge significantly due to gas trapping. Thorough investigation is crucial as GSDs can be associated with colonic carcinoma, and surgical resection is the recommended treatment.

Keywords:
Giant sigmoid diverticulumgiant colonic diverticulumphantom tumour

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Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Colorectal Surgery

Background:

  • Sigmoid colon diverticulosis is a common condition.
  • Diverticula can rarely enlarge to giant sigmoid diverticula (GSDs) via a ball-valve mechanism trapping colonic gas.

Observation:

  • Giant sigmoid diverticula (GSDs) present with varied symptoms including pain, altered bowel habits, distention, weight loss, bleeding, perforation, fistula, or obstruction.
  • Nocturnal diarrhea is identified as a primary differentiating symptom in one case.
  • Imaging diagnosis relies on CT and plain abdominal X-ray; barium enema and sigmoidoscopy aid in carcinoma detection.

Findings:

  • Two percent of GSD patients present with colonic carcinoma within or distal to the diverticulum.
  • Giant sigmoid diverticula (GSDs) require thorough investigation due to the risk of associated malignancy.

Implications:

  • Early diagnosis and investigation of GSDs are essential for timely cancer detection.
  • Surgical resection of the diverticulum and/or adjacent sigmoid colon is the primary treatment for GSDs.
  • Treatment options include primary anastomosis or a double-stage procedure.