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Giant colonic diverticulum: case report of a rare surgical condition
Ellen Liekens1, Eugène Mutijima Nzaramba2, Bernard Geurde1
1Department of Surgery, CHBA, Liège, Belgium.
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.
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