Carcinoma arising in a diverticulum of sigmoid colon.
Explore the source record for details and available documents.
SEARCH · Search PubMed
Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.
Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.
Explore the source record for details and available documents.
A case of a giant sigmoid diverticulum is presented with a review of clinical and radiological features and surgical treatment. The origin is discussed in relation to a peroperative observation of air-trapping.
Meckel's diverticulum is a common anomaly of the GI tract that is known to cause small intestinal obstruction. A 17-yr-old male who had no history of previous surgery was admitted with intermittent abdominal pain. A barium enema showed extraintestinal compression of the ascending colon, suggesting the existence of a congenital band. Laparoscopy revealed that the ascending colon was lifted up and compressed by the intestinal end of a Meckel's diverticulum with a fibrous band connecting to the umbilicus. The portion of the ileum including the Meckel's diverticulum was resected. This is the first case of stenosis of the colon caused by a Meckel's diverticulum.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
We report a case of perforated diverticulitis of the transverse colon. The preoperative diagnosis of perforated appendicitis was made on the basis of findings of both ultrasonography and CT. At surgery, an inflammatory mass resembling carcinoma was found in the transverse colon, and segmental resection was then performed. Diverticulitis of the transverse colon is rare, and there have been few reports in the English-language medical literature. This report describes a true diverticulum of the transverse colon that presented as acute diverticulitis.
Diagnosis of perforation of a solitary diverticulum of transverse colon followed the discovery at operation of an abdominal mass, ultrasound and CT scan imaging demonstrating a heterogeneous mass of enhanced density provoking apparent extrinsic compression of colon. A literature review showed the rarity of this complication, only 22 cases being reported but associated almost constantly with a pseudo-tumoral abscess centered on the diverticulum. This was the case in the patient reported but current imaging methods (ultrasound and particularly CT scanning) allowed correct evaluation of the nature and relations of the mass preoperatively, eliminating, its neoplastic nature by precise morphologic criteria. Despite its rarity, the diagnosis of perforation of an isolated transverse colon diverticulum should be evoked systematically by an extrinsic mass developed in contact with its wall, the nature of which is now simple to define preoperatively by CT scan imaging.
A case of perforation of a congenital sigmoid diverticulum producing diffuse peritonitis in a 4-year-old boy is presented. Physical examination showed an acute abdomen despite a normal computed tomography study. Successful surgical treatment was achieved by excision of the diverticulum, adjacent bowel, and an end-to-end anastomosis.
Explore the source record for details and available documents.
The authors report a recently examined rare case of isolated perforated diverticulum of the transverse colon. At surgery, a perforated omentum-sealed diverticulum was found in the third distal wall of the transverse colon. A diverticulectomy was performed. The postoperative course was excellent.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Diverticulosis of the ascending colon is rare. Perforation of a diverticulum is very uncommon and at times it is difficult to differentiate from carcinoma. Two unusual cases of perforated solitary diverticula of the ascending colon are reported, and literature is briefly reviewed.
While diverticulosis of the colon is a relatively common disease, a solitary giant diverticulum (GD) of the sigmoid is rare. Although there exist some theories about the formation of a GD, none is really conclusive. Symptoms are similar to diverticular disease, and diagnosis is easy with the aid of radiology. Early surgical treatment is necessary since the complication rate is high (19%).
We present a case of perforated giant diverticulum of the sigmoid colon. This condition is extremely rare and only a few cases have so far been reported in the literature. Our case involved a 55-year old woman. Diagnosis was easy with barium enema and CT scan examination. Laparotomy revealed a giant diverticulum of the sigmoid colon compressing adjacent structures with signs of inflammation. An en bloc resection of the sigmoid colon, ovary and fallopian tube was performed with primary colon-rectal anastomosis. The post-operative course was uneventful.
There are two types of cecal diverticula: in the first type, the diverticula are often multiple, and they really are false diverticula like in sigmoiditis. The second type, the so-called single type, is a frequently single diverticulum with a complete wall, which may have a congenital origin. Cecal diverticula are often expressed between 45 and 55 years of age by symptoms mimicking appendicitis. Two signs may suggest the diagnosis: the virtual absence of nausea and vomiting, and the long delay before the onset of pain. The surgical treatment, in case of acute complications (perforation, abscess), varies according to the surgical findings. In fact, if a pseudotumoral inflammatory mass is discovered, the correct diagnosis is established in 58% to 72% of all cases only. The treatment can therefore range from simple diverticulotomy to righ hemicolectomy.