Complicated giant diverticulum of rectosigmoid colon in elderly

HaengJin Ohe; Yeo Goo Chang

doi:10.1016/j.ijscr.2022.107011

Complicated giant diverticulum of rectosigmoid colon in elderly

Int J Surg Case Rep. 2022 May:94:107011. doi: 10.1016/j.ijscr.2022.107011. Epub 2022 Apr 1.

Authors

HaengJin Ohe¹, Yeo Goo Chang²

Affiliations

¹ Department of Surgery, Seoul Paik Hospital, Inje University, Republic of Korea.
² Department of Surgery, Seoul Paik Hospital, Inje University, Republic of Korea. Electronic address: ygchang9421@hanmail.net.

Abstract

Introduction: Giant colonic diverticulum (GCD) is a rare condition defined by diverticular size over 4 cm. Its presentation is usually asymptomatic.

Present of case: We herein report a rare presentation of ruptured GCD in elderly man who suffered from abdominal pain. The patient underwent primary repair and ileostomy to shorten the operation time instead of Hartmann's operation. Post-operative CT revealed complicated GCD with rupture.

Discussion: The exact mechanism of GCD generation is questionable. Most of case is discovered by radiologic exam or computed tomography (CT) incidentally. The most common complications of GCD are perforation and abscess formation.

Conclusion: Symptoms of GCD are like those of usual diverticulosis. But, considering the severity of complications, it is better to prioritize surgical treatment at diagnosis.

Keywords: Case report; Diverticulum; Giant; Perforation; Peritonitis.