Volvulus of Giant Sigmoidal Diverticulum

Silberman, Ellis L.

doi:10.1001/jama.1961.73040370014014

Cited by 33 publications

(5 citation statements)

References 2 publications

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“…There have been approximately 190 cases of GCD published in the English language literature since it was first described in 1946, with sizes ranging from 4 to 40 cm [6] , [7] . GCD has been documented to cause a myriad of complications from intussusception to sequestering endoscopy capsules, but the author could find only one other case of documented volvulus due to GCD, and that reference is from 1961 and not something most surgeons are familiar with today [8] . This case report documents not only a second and contemporary occurrence of sigmoid volvulus due to GCD, but also the need for surgical resection when a GCD is identified.…”

Section: Discussionmentioning

confidence: 99%

Case report of a giant colonic sigmoid diverticulum causing sigmoid volvulus

Carr¹

2017

International Journal of Surgery Case Reports

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Section: Discussionmentioning

confidence: 99%

Case report of a giant colonic sigmoid diverticulum causing sigmoid volvulus

Carr¹

2017

International Journal of Surgery Case Reports

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“…Several surgical techniques have been described. Diverticulectomy alone or resection of the involved colonic segment 11,12 . In this case, an elderly patient with high surgical risk due to comorbidities, we decided to keep a conservative attitude in previous admissions, but the presentation with acute symptoms conditioned urgent surgery.…”

Section: Discussionmentioning

confidence: 99%

Complicated giant sigmoid diverticulum. Emergency laparoscopic approach is possible

et al. 2020

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Introduction: Giant colonic diverticulum (GCD) is a rare complication of colonic diverticulosis. Patients have often non-specific symptoms, and complication is exceptional. Case Report: We report a case of an 87-year-old man with several admissions in the last year due to episodes of acute diverticulitis and CT scan image compatible with GCD that presents with pain and a palpable abdominal mass. In urgent CT scan GCD shows increased size reaching 12 cm. Laparoscopic sigmoidectomy with primary colorectal anastomosis was performed urgently. His postoperative course was plain and the patient was discharged after 5 days. Pathology reported a diverticular formation of 12 cm in diameter. Discussion: Location and simultaneous acute diverticular disease are the main criteria for deciding the surgical approach. Colonic resection with primary anastomosis is the gold standard and, if possible, should be performed by laparoscopy, even in emergency cases.

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“…7 Other presenting symptoms include abdominal pain (68%), constipation (18%), and vomiting (12%). 2 Rare complications include focal wall infarction, 8 adenocarcinoma within the giant colonic diverticulum, 9 volvulus of diverticulum, 10 and partial small bowel obstruction. 11 Radiological diagnosis of GCD is fairly distinct.…”

Section: Discussionmentioning

confidence: 99%

Ruptured Giant Colonic Diverticulum

Abou-Nukta

Bakhos

Ikekpeazu

et al. 2005

The American Surgeon™

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Giant colonic diverticulum (GCD) is a rare complication of diverticular disease with less than 150 cases reported in the English literature. The clinical presentation ranges from asymptomatic to that of an acute abdomen. In most cases, giant colonic diverticulum is found in the sigmoid colon. The ideal treatment is elective resection of the sigmoid colon with primary anastomosis. When the diverticulum presents with perforation or obstruction, however, the treatment is a sigmoid colectomy with diverting colostomy (Hartmann procedure).

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Volvulus of Giant Sigmoidal Diverticulum

Cited by 33 publications

References 2 publications

Case report of a giant colonic sigmoid diverticulum causing sigmoid volvulus

Case report of a giant colonic sigmoid diverticulum causing sigmoid volvulus

Complicated giant sigmoid diverticulum. Emergency laparoscopic approach is possible

Ruptured Giant Colonic Diverticulum

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