AIM. To analyze the results of treatment of patients with diverticular disease in Coloproctology Department. MATERIALS AND METHODS. During the periodfrom 2001 to 2017, 223 patients with diverticular colon disease were treated in the hospital. RESULTS. 191 (85,7%) were treated conservatively, 32 (14,3%) patients were operated on. One-stage procedure was performed in 21 (67,7%) patients, in 10 (32,3%) bowel resection has been completed by stoma. Postoperative complications developed in 25% of cases. Postoperative mortality was 3,1%. Operations reconstructive the length of the intestinal tube were performed in 24 previously operated patients. Colostomy reversal was combined with secondary resection in 9 (37,5%) patients CONCLUSION. Diverticular disease of the colon is a widespread condition with a wide spectrum of severe complications requiring surgical correction. In work with this pathology it is necessary to strictly observe uniform standards of diagnostics and treatment.
The paper presents a clinical case of a rare stromal colon tumor in a patient previously operated for breast cancer. The patient with a rapidly growing abdominal tumor of unknown origin underwent tests in the department of coloproctology. According to ultrasound and CT examina-tion, the lumpy formation with large size and low mobility, compressing the surrounding organs and probably coming from the colon, has been revealed. The removal of the tumor coming from the sigmoid colon with segmental resection anastomosis was performed. The postoperative period was uncomplicated, patient discharged from the clinic 7 days after surgery. Immunohistochemical examination of the tumor showed Gastrointestinal Autonomous Neurogenic Tumor (GANT) – a variant of GIST. Surgery for rare mesenchymal tumors is better in the coloproctologi-cal units with sufficient skills of surgeons. The multidisciplinary approach is necessary in such cases.
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