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Giant sigmoid diverticulum

M J D'Almeida1, J H McQuiston

  • 1Northeast Surgical Group, PC, Clinton Township, MI 48038-1137, USA.

The Journal of the American Osteopathic Association
|May 1, 1996
PubMed
Summary

A rare giant sigmoid diverticulum complication of diverticulitis was diagnosed after a 5-year workup. Surgical resection led to symptom resolution, highlighting diagnostic challenges and management of this unusual condition.

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Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Diverticulitis is a common condition, but giant sigmoid diverticulum is an extremely rare complication.
  • Chronic abdominal pain can be misdiagnosed, leading to extensive and prolonged patient workups.

Observation:

  • A 49-year-old male presented with chronic, intermittent abdominal pain initially attributed to functional causes.
  • A 5-year diagnostic odyssey involving gastroenterology and psychiatric evaluations preceded the identification of a giant sigmoid diverticulum.

Findings:

  • Initial diagnostic imaging, including plain roentgenograms and computed tomography scans, failed to reveal the abnormality.
  • En bloc resection of the sigmoid colon and diverticulum resulted in complete symptom resolution and uncomplicated recovery.

Implications:

  • Giant sigmoid diverticulum presents a diagnostic challenge, often missed by conventional imaging modalities.
  • Prompt surgical intervention is crucial for managing this rare complication and improving patient outcomes.
  • Understanding the differential diagnoses and proposed etiologies is essential for clinicians managing complex diverticulitis cases.

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