Giant colonic pseudo-diverticula importance of, and aids to radiological diagnosis: a case series

Godfrey T Chatora,Maruti Kumaran

doi:10.1186/1757-1626-2-9314

Godfrey T Chatora, Maruti Kumaran

Open Access

https://doi.org/10.1186/1757-1626-2-9314

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Abstract

IntroductionThis case series illustrates the clinical presentation and radiological findings of two patients in whom the diagnosis of a Giant Colonic Diverticulum (GCD) was histologically confirmed. We also discuss the pathogenesis and differential diagnosis.Case presentationIn one case, the patient had no previous large bowel symptoms and intra operatively no other colonic diverticula were found. Both were treated with surgical resection.ConclusionThe preoperative diagnosis of GCD is made radiographically, and the importance of the early recognition of radiological findings, especially in asymptomatic disease, is emphasised.

Highlights

This case series illustrates the clinical presentation and radiological findings of two patients in whom the diagnosis of a Giant Colonic Diverticulum (GCD) was histologically confirmed
A Giant Colonic Diverticulum (GCD) is a rare complication of colonic diverticulosis, a frequently occurring condition most often found in the sigmoid colon
Giant colonic diverticulum is a rare complication of this common disease with fewer than 150 cases reported in the literature

Summary

Introduction

This case series illustrates the clinical presentation and radiological findings of two patients in whom the diagnosis of a Giant Colonic Diverticulum (GCD) was histologically confirmed. A Giant Colonic Diverticulum (GCD) is a rare complication of colonic diverticulosis, a frequently occurring condition most often found in the sigmoid colon. The preoperative diagnosis of GCD is made on plain abdominal radiography with findings of a large, smoothly marginated, round or oval, homogenous radiolucency in the abdomen that may contain an air-fluid level [1]. This may be in close apposition to the colon on barium enema examination. The Barium enema may document communication with the bowel lumen if patients are positioned properly to ensure uniform barium coating

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