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Giant colonic diverticulum: report of a case.
Am Surg. 1999 Jun; 65(6):578-80.AS

Abstract

Giant colonic diverticulum is a rare complication of colonic diverticulosis. It typically occurs as a single diverticulum located on the antimesenteric border of the sigmoid colon. The most widely accepted theory for its development attributes the progressive dilation to a "ball-valve" mechanism, allowing air to enter but not to exit. Patients usually present complaining of abdominal pain and/or an abdominal mass, although they may remain asymptomatic. Physical examination reveals a tympanic abdominal mass that appears as a round radiolucency on plain radiographs and CT. Barium enema demonstrates the relationship of the diverticulum to bowel and may document communication with the colonic lumen. To alleviate symptoms and prevent complications, the recommended treatment is excision of the diverticulum in continuity with the involved colonic segment. We report a case and discuss the presentation, diagnosis, and management of giant colonic diverticulum.

Authors+Show Affiliations

Department of Surgery, Dwight David Eisenhower Army Medical Center, Ft. Gordon, Georgia 30905, USA.No affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

10366213

Citation

Havenstrite, K A., et al. "Giant Colonic Diverticulum: Report of a Case." The American Surgeon, vol. 65, no. 6, 1999, pp. 578-80.
Havenstrite KA, Harris JA, Rivera DE. Giant colonic diverticulum: report of a case. Am Surg. 1999;65(6):578-80.
Havenstrite, K. A., Harris, J. A., & Rivera, D. E. (1999). Giant colonic diverticulum: report of a case. The American Surgeon, 65(6), 578-80.
Havenstrite KA, Harris JA, Rivera DE. Giant Colonic Diverticulum: Report of a Case. Am Surg. 1999;65(6):578-80. PubMed PMID: 10366213.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Giant colonic diverticulum: report of a case. AU - Havenstrite,K A, AU - Harris,J A, AU - Rivera,D E, PY - 1999/6/12/pubmed PY - 1999/6/12/medline PY - 1999/6/12/entrez SP - 578 EP - 80 JF - The American surgeon JO - Am Surg VL - 65 IS - 6 N2 - Giant colonic diverticulum is a rare complication of colonic diverticulosis. It typically occurs as a single diverticulum located on the antimesenteric border of the sigmoid colon. The most widely accepted theory for its development attributes the progressive dilation to a "ball-valve" mechanism, allowing air to enter but not to exit. Patients usually present complaining of abdominal pain and/or an abdominal mass, although they may remain asymptomatic. Physical examination reveals a tympanic abdominal mass that appears as a round radiolucency on plain radiographs and CT. Barium enema demonstrates the relationship of the diverticulum to bowel and may document communication with the colonic lumen. To alleviate symptoms and prevent complications, the recommended treatment is excision of the diverticulum in continuity with the involved colonic segment. We report a case and discuss the presentation, diagnosis, and management of giant colonic diverticulum. SN - 0003-1348 UR - https://www.unboundmedicine.com/medline/citation/10366213/Giant_colonic_diverticulum:_report_of_a_case_ L2 - https://medlineplus.gov/diverticulosisanddiverticulitis.html DB - PRIME DP - Unbound Medicine ER -
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