Giant Sigmoid Diverticula

Giant Colonic Diverticula

“…Nano et al [78]discuss the phenomenon of a intermittently palpable mass, the reason they call it a phantom tumor, similar findings are reported by others as well [5, 50, 52, 71]. Objective enlargement of the mass is found in 15 patients [2, 17, 18, 33, 38, 50, 51, 65, 68, 79, 86, 103]. As Choong et al [84]discuss, this increase in volume of a GCD can be related to differences in the intracolonic and GCD pressure through the communicating ostium.…”

“…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, …”

“…This percentage would probably be higher, because in most cases, no upright X-ray is performed [4, 5, 9, 13, 15, 18, 28, 32, 36, 39, 40, 50, 69, 75, 80]. A GCD can also be found on a plain X-thorax [68], but a normal X-thorax, does not exclude the presence of a GCD [36]. …”

Giant Sigmoid Diverticulum: A Rare Presentation of a Common Pathology

“…Common symptoms include vague abdominal pain [14] and abdominal mass [6] (71%); some patients present with diarrhea, constipation, fever, nausea and vomiting or rectal bleeding [14, 15]. Complications of giant sigmoid diverticulum (15–35%) are peritonitis, secondary to perforation, or abscess and volvulus [15].…”