CT appearance of giant colonic diverticulum

Fields, Scott; Haskell, Liliana; Libson, Eugene

doi:10.1007/bf01885106

Cited by 22 publications

(9 citation statements)

References 6 publications

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“…Further papers were identified by cross-referencing from the reference lists of relevant articles. A total of 135 patients were identified, presenting with a total of 155 GCD [1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 78, 79, 80, 81, 82, 83, 84, 85, 86, 87, 88, 89, 90, 91, …”

Section: Methodsmentioning

confidence: 99%

“…Pneumoperitoneum or pneumo-mesenterium, suggesting perforation of the gastrointestinal tract, was shown in 8 cases [2, 8, 29, 55, 58, 59, 66, 91]. Besides the gas-filled cyst or free air, abdominal X-ray can show calcification [62]. On upright abdominal X-rays or lateral views a fluid level could be demonstrated in 15 (14%) cases.…”

Section: Diagnostic Findingsmentioning

confidence: 99%

“…CT examination revealed the GCD in all 17 patients in which CT examination was performed [61, 62, 63, 65, 67, 74, 80, 82, 84, 85, 86, 87, 88, 89, 90, 91, 98]. Not only does it seem to be a sensitive investigation, it is also capable of identifying an existing communication between the cyst and the gastrointestinal tract, even when this could not be shown by barium enema investigation [63].…”

Section: Diagnostic Findingsmentioning

confidence: 99%

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Giant Colonic Diverticula

Steenvoorde

Vogelaar²,

Oskam³

et al. 2004

Dig Surg

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Background: A rare complication of diverticulosis of the colon is giant colonic diverticula (GCD). The condition was first described in English literature in 1953 [1, 2]. Methods: A Medline search was undertaken for English, French and German language articles on ’giant colonic diverticula’. Results: A total of 135 patients were identified, presenting with a total of 155 GCD [1–98]. With a complication rate of 28% and an operative mortality of 5%, GCD seems to have a high clinical significance. Radiological examination of choice seems to be plain abdominal X-ray and CT examination, barium enema carries the risk of perforation of the diverticulum, and should not be performed. Conclusions: There are different therapeutic options, in our opinion diverticulectomy alone is not the treatment of choice. Because of the possibility of recurrence and oncological reasons, colectomy seems to be the best treatment. The creation of a protecting colostomy depends on other operative findings.

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Section: Methodsmentioning

confidence: 99%

Section: Diagnostic Findingsmentioning

confidence: 99%

Section: Diagnostic Findingsmentioning

confidence: 99%

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Giant Colonic Diverticula

Steenvoorde

Vogelaar²,

Oskam³

et al. 2004

Dig Surg

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“…Computed tomography scanning of the abdomen may be useful 18 and demonstrates a smooth-walled gas-containing structure or rarely marginal calcification. 19 Colonoscopy is frequently noncontributory.…”

Section: Investigationsmentioning

confidence: 99%

Giant Colonic Diverticulum: An Unusual Abdominal Lump

Praveen

Suraparaju

Jaunoo

et al. 2007

Journal of Surgical Education

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“…4 CT scans will show a large gas-filled cavity with smooth margins that is continuous with the colon. 5 Treatment includes conservative management such as pain control and colonic decompression as needed. Surgical intervention such as diverticulectomy or colectomy may be required if abdominal pain becomes intractable or profuse bleeding occurs.…”

mentioning

confidence: 99%