Ruptured Giant Colonic Diverticulum

2005 ◽  
Vol 71 (12) ◽  
pp. 1073-1074 ◽  
Author(s):  
Fadi Abou-Nukta ◽  
Charles Bakhus ◽  
Nkemanekum Ikekpeazu ◽  
Kenneth Ciardiello
Keyword(s):  
Sigmoid Colon ◽  
English Literature ◽  
Rare Complication ◽  
Primary Anastomosis ◽  
Sigmoid Colectomy ◽  
Colonic Diverticulum ◽  
Hartmann Procedure ◽  
Elective Resection ◽  
Giant Colonic Diverticulum ◽  
The Ideal

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).

scholarly journals Angiosarcoma of sigmoid colon with intraperitoneal bleeding: case report and literature review

2011 ◽  
Vol 93 (6) ◽  
pp. e91-e93 ◽  
Author(s):  
Tse-Hua Lo ◽  
Mu-Shiun Tsai ◽  
Tzu-An Chen
Keyword(s):  
Sigmoid Colon ◽  
Alimentary Tract ◽  
Surgical Excision ◽  
Sigmoid Colectomy ◽  
Epithelioid Cells ◽  
Spindle Cells ◽  
Choice Of Treatment ◽  
Intraperitoneal Bleeding ◽  
Immunohistochemical Studies

Primary angiosarcomas arising from the alimentary tract are rare and only a few cases have been reported in the literature. We report a case of an angiosarcoma of the sigmoid colon with intraperitoneal bleeding but not rectal bleeding. A 21-year-old female patient received a laparotomy and a mass lesion over the sigmoid colon was found with active bleeding. A sigmoid colectomy was performed as a curative resection. Grossly, the sigmoid colon contained a kidney shaped, hemorrhagic tumour from the submucosal layer extension to the antimesenteric side. Intraluminally, the mucosa of the colon was intact. Microscopic examination revealed a high grade angiosarcoma composed of fascicles of spindle cells and solid sheets of epithelioid cells. Immunohistochemical stains revealed a positive result for CD31 and the endothelial nature of the malignancy was confirmed. Smooth muscle antigens, desmins, cytokeratins AE1/AE3 and CD117 were all negative. The patient is still alive without evidence of recurrence or metastasis at a three-year follow-up appointment. Owing to the availability of immunohistochemical studies, some atypical sarcomas would now be correctly classified as angiosarcomas. Since no optimal adjuvant treatment is effective, curative surgical excision is still the best choice of treatment.

Laparoscopic sigmoid resection for a giant colonic diverticulum – a video vignette

2021 ◽  
Author(s):  
Juan Ocaña ◽  
Alfredo Vivas ◽  
María Labalde ◽  
Pablo Pelaez ◽  
Sandra García ◽  
...  
Keyword(s):  
Sigmoid Resection ◽  
Colonic Diverticulum ◽  
Laparoscopic Sigmoid Resection ◽  
Giant Colonic Diverticulum ◽  
Video Vignette

scholarly journals P074 PARASTOMAL AND INCISIONAL HERNIAS FOLLOWING EMERGENCY SURGERY FOR HINCHEY III-IV DIVERTICULITIS: A SYSTEMATIC REVIEW

2021 ◽  
Vol 108 (Supplement_8) ◽  
Author(s):  
Elisa Mäkäräinen ◽  
Tero Rautio ◽  
Filip Muysoms ◽  
Joonas Kauppila
Keyword(s):  
Systematic Review ◽  
Surgical Treatment ◽  
Incisional Hernia ◽  
Parastomal Hernia ◽  
Primary Anastomosis ◽  
Controlled Trials ◽  
Hartmann Procedure ◽  
Randomized Controlled ◽  
Hernia Incidence

Abstract Aim The aim of this systematic review was to report the risk of parastomal and incisional hernias after emergency surgery for Hinchey III–IV diverticulitis. Material and Methods The Cochrane Library, Embase, PubMed (MEDLINE), Web of Science and Scopus databases were systematically searched. All randomized controlled trials (RCTs) and cohort studies comparing HP with other surgical treatment options for perforated diverticulitis classified as purulent or faecal (Hinchey III–IV) were considered for inclusion. Exclusion criteria were case series and reports, letters, editorials, reviews and conference abstracts. The primary endpoint was parastomal hernia incidence. The secondary endpoint was incisional hernia incidence. Seven studies (six randomized controlled trials and one retrospective cohort) with a total of 831 patients were eligible for inclusion. Results The parastomal hernia incidence was 15.2–46.0% for Hartmann procedure, 0–85.2% for primary anastomosis, 4.3% for resection and 1.6 % for laparoscopic lavage. The incisional hernia incidences were 7.8–38.1% for Hartmann procedure, 4.5–27.2% for primary anastomosis, 3.2–25.5% for primary resection, 2.7–11.1% for laparoscopic lavage and 16.1–45.8% for secondary resection. Due to heterogeneity of follow-up methods, follow-up time and lack of both parastomal and incisional hernia as outcome, no meta-analysis was conducted. Conclusions The hernia incidences reported after surgical treatment for complicated diverticulitis may be biased and underestimated. For future RCTs, researchers are encouraged to pay attention to hernia diagnosis, symptoms and prevention.

scholarly journals Giant Colonic Diverticulum

2008 ◽  
Vol 21 (1) ◽  
pp. 25-26 ◽  
Author(s):  
Karen L. Mcquade ◽  
Michael L. Foreman
Keyword(s):  
Colonic Diverticulum ◽  
Giant Colonic Diverticulum

scholarly journals A gas-filled abdominal cyst in an elderly woman: A giant colonic diverticulum case report

2016 ◽  
Vol 24 ◽  
pp. 104-107 ◽  
Author(s):  
Ana Carolina del Pozo ◽  
Vittorio Bartolotta ◽  
Sante Capitano ◽  
Matteo De Fusco ◽  
Leonardo Chiodi ◽  
...  
Keyword(s):  
Case Report ◽  
Elderly Woman ◽  
Colonic Diverticulum ◽  
Giant Colonic Diverticulum ◽  
Abdominal Cyst

Gallstone ileus of the sigmoid colon: a rare complication of cholelithiasis

2011 ◽  
Vol 63 (3) ◽  
pp. 219-221 ◽  
Author(s):  
Francesca Zingales ◽  
Elisa Pizzolato ◽  
Marinella Menegazzo ◽  
Chiara Da Re ◽  
Romeo Bardini
Keyword(s):  
Sigmoid Colon ◽  
Rare Complication ◽  
Gallstone Ileus

scholarly journals A rare case of a closed loop obstruction due to epiploic appendage of the sigmoid colon

2020 ◽  
Vol 2020 (3) ◽  
Author(s):  
Rathin Gosavi ◽  
Ee Ban
Keyword(s):  
Small Bowel ◽  
Sigmoid Colon ◽  
Rare Case ◽  
Closed Loop ◽  
Primary Anastomosis ◽  
Uterine Cancer ◽  
Small Bowel Resection ◽  
Uneventful Recovery ◽  
Ischemic Bowel ◽  
The Right

Abstract An internal hernia is a protrusion of viscera through a congenital or acquired defect in the mesentery of peritoneum. They account for <0.9% of all small bowel obstructions [1] and ~4% of obstructions due to hernias [2]. We present a rare case of closed loop obstruction secondary to a band adhesion traversing the lower abdomen from a sigmoid colon appendage epiploicae to the right pelvic wall. A 82-year-old woman presented to the emergency department with nausea, vomiting and worsening right sided abdominal pain for 24 h, on the background of previous pelvic radiation and hysterectomy for uterine cancer. She was subsequently found to have a closed loop obstruction with 30 cm of ischemic bowel strangulated by a band adhesion from a sigmoid colon appendage epiploicae to the right abdominal wall. The patient underwent a successful small bowel resection with primary anastomosis and made an uneventful recovery.

CT appearance of giant colonic diverticulum

1987 ◽  
Vol 12 (1) ◽  
pp. 71-72 ◽  
Author(s):  
Scott I. Fields ◽  
Liliana Haskell ◽  
Eugene Libson
Keyword(s):  
Colonic Diverticulum ◽  
Giant Colonic Diverticulum
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