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Complicated giant colonic diverticulum: imaging-based diagnosis.

Javier Rodríguez Jiménez1, Carmen Iglesias Sobrino1, Francisco Javier García Solo de Zaldívar1

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A giant colonic diverticulum, a rare condition, caused severe abdominal pain and fever in a 66-year-old male. Surgical removal of the infected diverticulum led to a full recovery.

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Area of Science:

  • Gastroenterology
  • Abdominal Surgery
  • Radiology

Background:

  • Diverticulosis is common, but giant colonic diverticula are rare.
  • Giant colonic diverticula can present with vague abdominal symptoms, mimicking other conditions.

Observation:

  • A 66-year-old male presented with abdominal pain, weight loss, fever, and a palpable mass.
  • Imaging revealed a large, air-fluid containing cystic lesion in the left upper quadrant, suggestive of a giant colonic diverticulum.

Findings:

  • CT scan confirmed a sigmoid-dependent giant diverticulum with signs of superinfection and possible torsion.
  • Surgical exploration revealed purulent content within the diverticulum, confirming infection.

Implications:

  • Prompt diagnosis and surgical intervention are crucial for managing complicated giant colonic diverticula.
  • This case highlights the importance of considering rare diagnoses in patients with persistent abdominal symptoms.