Giant Sigmoid Diverticulum

Rabinowitz, Jack G.; Farman, Jack; Dallemand, Serge; Twerskey, Jack; Rosen, Yale

doi:10.2214/ajr.121.2.338

Cited by 18 publications

(17 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Published literature concerning GCD is mainly in the form of case reports, the largest reports describe only 5 cases [2, 27]. A Medline search was undertaken for English, French and German language articles on ‘giant colonic diverticula’.…”

Section: Methodsmentioning

confidence: 99%

“…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%

“…Colonoscopy was performed in 18 patients. Colonoscopy did not demonstrate the GCD in 15 of 18 (83%) described cases [2, 20, 26, 27, 28, 30, 40, 42, 43, 48, 54, 58, 72, 74, 78]. In 3 cases colonoscopy revealed a large ostium of several centimeters suggesting a GCD [52, 71, 81].…”

Section: Diagnostic Findingsmentioning

confidence: 99%

See 2 more Smart Citations

Giant Colonic Diverticula

Steenvoorde

Vogelaar²,

Oskam³

et al. 2004

Dig Surg

View full text Add to dashboard Cite

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.

show abstract

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Giant Colonic Diverticula

Steenvoorde

Vogelaar²,

Oskam³

et al. 2004

Dig Surg

View full text Add to dashboard Cite

show abstract

“…Since the GCD was first described in 1953 by Hughes and Green [6], more than 50 cases have been reported in the English literature [9]. The giant colonic diverticulum has been variously termed solitary or giant air cyst [3, 5, 6, 16], giant gas cyst [7,20], giant sigmoid diverticulum [2,8,12,13,21,22], giant diverticulum of the sigmoid colon [4,10,11], and giant colonic diverticulum [9]. Although most GCD are located in the sigmoid colon, they have also been described in the transverse colon [14] and descending colon [1,9].…”

Section: Casementioning

confidence: 99%

Pathogenesis of giant colonic diverticula

Muhletaler

Berger

Robinette

1981

Gastrointest Radiol

View full text Add to dashboard Cite

The clinical, radiographic, and pathologic findings of 3 patients with giant colonic diverticula are presented. Although several theories have been proposed for the formation of these diverticula, they have not been fully documented. One of our cases illustrates the evolution of this disorder following typical colonic diverticulitis. The pathogenesis and differential diagnosis of this unusual entity are discussed.

show abstract

“…Indeed, a patient who could reproduce a 10-cm abdominal mass by strain ing during defaecation has been reported [19]. However, Rabinowitz et al [20] felt that such a simple movement of gas could not be the full explanation for a variety of rea sons. First, the incidence of a giant cyst should be much higher than it is, and, second, the cyst should be lined by normal colonic mucosa.…”

Section: Discussionmentioning

confidence: 99%

Giant Diverticulum of the Colon: A Possible Pathogenesis

Mownah¹,

Singh²,

Ball³

et al. 1992

Dig Surg

View full text Add to dashboard Cite

Giant diverticula of the colon are a rare complication of acquired diverticular disease, but 5 cases have been presented in Norwich within recent years. Patients may present with lower abdominal pain and be found to have a firm, round, resonant mass, usually on the left side of the abdomen. Plain abdominal x-ray shows an air-filled cavity with a smooth outline. Barium enema examination reveals diverticular disease and, in 60% of subjects, a communication between the colon and the diverticulum. We suggest that this complication of diverticular disease of the colon occurs rarely because of the requirement for the diverticulum to be surrounded by a fatty mantle, either an appendix epiploica or retroperitoneal fat. Inflammation of the diverticulum is thus contained, allowing for progressive distension by a gas-trapping mechanism. Once diagnosed, the lesion should be excised to prevent complications.

show abstract

Giant Sigmoid Diverticulum

Cited by 18 publications

References 1 publication

Giant Colonic Diverticula

Giant Colonic Diverticula

Pathogenesis of giant colonic diverticula

Giant Diverticulum of the Colon: A Possible Pathogenesis

Contact Info

Product

Resources

About