A rare case of multiple giant colonic diverticula successfully treated with laparoscopic sigmoidectomy.

Clay M Merritt,Harold R Bailey,Mary R Schwartz,Jeffrey L Van Eps,Chuheng Xing

doi:10.1093/jscr/rjab475

Abstract

Colonic diverticulosis is pervasive in Western society, with over half of individuals over the age of 60 carrying the diagnosis. A Giant Colonic Diverticulum (GCD) is a rare presentation of diverticulosis, involving one or more colonic diverticula that measure 4 cm or greater. Less than 200 reports of GCD have been published in the literature. Almost all GCD patients present with symptoms, with abdominal pain being the most common. Diagnosis is usually made with CT imaging and recommended treatment is segmental colectomy. We present an atypical case of GCD with an asymptomatic presentation, initial diagnosis made during endoscopy and a minimally invasive resection of multiple GCD within the same patient.

Highlights

Colonic diverticulosis is pervasive in the Western world
We present an atypical case of Giant Colonic Diverticulum (GCD) with an asymptomatic presentation, initial diagnosis made during endoscopy and a minimally invasive resection of multiple GCD within the same patient
We present an atypical case of multiple GCD with an asymptomatic presentation and an endoscopic mode of diagnosis, treated by successful minimally invasive segmental resection

Summary

Introduction

Colonic diverticulosis is pervasive in the Western world. Nearly 80% of individuals over the age of 80 have diverticulosis of the colon [1]. A Giant Colonic Diverticulum (GCD) is a rare presentation of diverticulosis, involving one or more colonic diverticula that measure 4 cm or greater. Almost all GCD patients present with symptoms, with abdominal pain being the most common. We present an atypical case of GCD with an asymptomatic presentation, initial diagnosis made during endoscopy and a minimally invasive resection of multiple GCD within the same patient.

Results

Conclusion