Giant Colonic Diverticulum a Rare Complication of a Common Disease
Abstract An 80-year-old patient presented to the emergency room with a bowel obstruction and a tender epigastric mass. An abdominal computed tomography (CT) described a closed loop small bowel obstruction. An exploratory laparotomy revealed a giant sigmoid diverticulum, of 11cm in diameter, which was resected. The specimen was a true McNutt's type III diverticulum. The patient was discharged after a normal postoperative period and did not suffer any recurrence during a follow-up of more than 6 months. This is a rare complication of a common disease with non-specific presentation and not always accurately described by CT scan. Apart from intestinal volvulus, differential diagnoses include duplication cyst, a giant Meckel’s or duodenal diverticulum, pancreatic pseudocyst and pneumatosis cystoides intestinalis. Surgical resection is the recommended treatment to avoid perforation and peritonitis. Diverticulectomy is a safe option for a patient with acute presentation in the emergency room.
| Main Authors: | , , , |
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| Format: | Digital revista |
| Language: | English |
| Published: |
Sociedade Portuguesa de Radiologia e Medicina Nuclear
2022
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| Online Access: | http://scielo.pt/scielo.php?script=sci_arttext&pid=S2183-13512022000300027 |
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