A Rare Case Presentation of a Perforated Giant Sigmoid Diverticulum
Giant sigmoid diverticulum (GSD) is a rare complication of diverticulosis. These lesions arise from herniations of the mucosa through the muscle wall which progressively enlarge with colonic gas to become large air-filled cysts evident on plain X-ray and CT scans. We present a rare case of a 72-year...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2013-01-01
|
| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2013/957152 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832545215969230848 |
|---|---|
| author | Jennifer C. Kam Vikram Doraiswamy Robert S. Spira |
| author_facet | Jennifer C. Kam Vikram Doraiswamy Robert S. Spira |
| author_sort | Jennifer C. Kam |
| collection | DOAJ |
| description | Giant sigmoid diverticulum (GSD) is a rare complication of diverticulosis. These lesions arise from herniations of the mucosa through the muscle wall which progressively enlarge with colonic gas to become large air-filled cysts evident on plain X-ray and CT scans. We present a rare case of a 72-year-old female presenting with abdominal distention, abdominal tenderness, and fever who developed a type 1 giant sigmoid diverticulum (pseudodiverticulum) that subsequently formed an intra-abdominal abscess and an accompanying type 2 diverticulum as well. The patient was treated with surgical resection of the diverticulum with a primary anastomosis and abscess drainage. The patient’s postoperative course was uneventful. This case helps to support the need for the consideration of GSD in patients aged 60 and older with a history of diverticulosis and presenting with abdominal discomfort and distension. |
| format | Article |
| id | doaj-art-18f66e3605904e1ca7a0d7d32eb6f77b |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-18f66e3605904e1ca7a0d7d32eb6f77b2025-02-03T07:26:19ZengWileyCase Reports in Medicine1687-96271687-96352013-01-01201310.1155/2013/957152957152A Rare Case Presentation of a Perforated Giant Sigmoid DiverticulumJennifer C. Kam0Vikram Doraiswamy1Robert S. Spira2Division of Renal Diseases and Hypertension, The George Washington University School of Medicine, Washington, DC 20037, USASeton Hall University School of Health and Medical Sciences, St. Michael’s Medical Center, Newark, NJ 07102, USASeton Hall University School of Health and Medical Sciences, St. Michael’s Medical Center, Newark, NJ 07102, USAGiant sigmoid diverticulum (GSD) is a rare complication of diverticulosis. These lesions arise from herniations of the mucosa through the muscle wall which progressively enlarge with colonic gas to become large air-filled cysts evident on plain X-ray and CT scans. We present a rare case of a 72-year-old female presenting with abdominal distention, abdominal tenderness, and fever who developed a type 1 giant sigmoid diverticulum (pseudodiverticulum) that subsequently formed an intra-abdominal abscess and an accompanying type 2 diverticulum as well. The patient was treated with surgical resection of the diverticulum with a primary anastomosis and abscess drainage. The patient’s postoperative course was uneventful. This case helps to support the need for the consideration of GSD in patients aged 60 and older with a history of diverticulosis and presenting with abdominal discomfort and distension.http://dx.doi.org/10.1155/2013/957152 |
| spellingShingle | Jennifer C. Kam Vikram Doraiswamy Robert S. Spira A Rare Case Presentation of a Perforated Giant Sigmoid Diverticulum Case Reports in Medicine |
| title | A Rare Case Presentation of a Perforated Giant Sigmoid Diverticulum |
| title_full | A Rare Case Presentation of a Perforated Giant Sigmoid Diverticulum |
| title_fullStr | A Rare Case Presentation of a Perforated Giant Sigmoid Diverticulum |
| title_full_unstemmed | A Rare Case Presentation of a Perforated Giant Sigmoid Diverticulum |
| title_short | A Rare Case Presentation of a Perforated Giant Sigmoid Diverticulum |
| title_sort | rare case presentation of a perforated giant sigmoid diverticulum |
| url | http://dx.doi.org/10.1155/2013/957152 |
| work_keys_str_mv | AT jenniferckam ararecasepresentationofaperforatedgiantsigmoiddiverticulum AT vikramdoraiswamy ararecasepresentationofaperforatedgiantsigmoiddiverticulum AT robertsspira ararecasepresentationofaperforatedgiantsigmoiddiverticulum AT jenniferckam rarecasepresentationofaperforatedgiantsigmoiddiverticulum AT vikramdoraiswamy rarecasepresentationofaperforatedgiantsigmoiddiverticulum AT robertsspira rarecasepresentationofaperforatedgiantsigmoiddiverticulum |