Abstract
Although colonic diverticular disease is relatively common in the Western hemisphere, giant colonic diverticulum (GCD) is an unusual finding, often not included in the initial differential consideration. We present a case of GCD with radiographic features suggestive of an infiltrating neoplasm involving the sigmoid colon, clinically suspicious for gastrointestinal stromal tumor (GIST). Due to its gross appearance and location, GCD can be distinguished from other diseases of the gastrointestinal tract which can have similar characteristics on physical exam and imaging studies. The severe complications of the giant colonic diverticulum and its surgical significance make this condition important to recognize.
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