Giant Colon Diverticulum - Rare Condition: Case Report

Abstract

A rare condition that affects patients with colonic diverticulosis is the giant colonic diverticulum (GCD), which has a diameter of over 4 cm. The giant colonic diverticulum affects men and women equally, achieving highest incidence in groups between 35 and 90 years old (average 65 years) and is usually located on the antimesenteric border of the sigmoid colon in 90% of cases. We report a case of giant colonic diverticulum diagnosed in a 76-year-old patient and describe the clinical signs and symptoms, laboratory tests, radiological findings and the therapeutic conduct performed. In this specific case, the location of the GCD in the sigmoid colon, inflammatory symptoms combined with alternative therapy based on conservative treatment, with no need for resection of the adjacent colon, are configured in a conduct of satisfactory value. The clinical presentation of GCD may remain asymptomatic for months or even years, produce nonspecific abdominal discomfort or manifest in the form of an acute abdomen. In view of the characteristics of the case, the scarce references in the world literature and because it details the conduct and follow-up of the patient affected by this disease, it is opportune to describe it.