Ruptured Giant Colonic Diverticulum

Abou-Nukta, Fadi; Bakhus, Charles; Ikekpeazu, Nkemanekum; Ciardiello, Kenneth
December 2005
American Surgeon;Dec2005, Vol. 71 Issue 12, p1073
Academic Journal
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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