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Gastrointestinal image: a true giant transverse colon diverticulum.

Olakowski M, Jabłońska B, Lekstan A, Szczęsny-Karczewska W, Pilch-Kowalczyk J, Kohut M - J. Gastrointest. Surg. (2011)

Bottom Line: Barium enema revealed a single, large diverticulum of the transverse colon.The postoperative course was uneventful, and she was discharged in 1 week without any complications.Histopathology showed a true diverticulum containing all layers of the colon.

View Article: PubMed Central - PubMed

Affiliation: Department of Digestive Tract Surgery, Medical University of Silesia, Medyków 14 St, 40-752 Katowice, Poland.

ABSTRACT

Unlabelled: Giant colonic diverticulum is an extremely rare condition in colonic diverticular disease. More than 90% of giant colonic diverticula are found in the sigmoid colon. Inflammatory and pseudodiverticula are the most frequent. Only one case of a true diverticulum of the transverse colon has been reported in the literature.

Case report: We report a case of a 22-year-old woman presenting with constipation and meteorism from childhood. A plain abdominal X-ray showed a round radiolucent air-filled cyst. Barium enema revealed a single, large diverticulum of the transverse colon. An extended right hemicolectomy with primary end-to-end anastomosis was performed. The postoperative course was uneventful, and she was discharged in 1 week without any complications. Histopathology showed a true diverticulum containing all layers of the colon.

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Related in: MedlinePlus

Barium enema showing a giant diverticulum of the transverse colon
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Related In: Results  -  Collection


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Fig1: Barium enema showing a giant diverticulum of the transverse colon

Mentions: In July 2010, a 22-year-old woman was admitted with a history of constipation and meterorism that were longstanding from childhood. The loss of weight and anorexia secondary to restricted diet appeared several years ago. She underwent appendectomy at the age of 1 year. She had been previously diagnosed in other departments, and based on colonoscopy, dolichocolon had been suggested. Physical examination revealed a large abdominal mass and cachexia (BMI = 15.5 kg/m2). A plain abdominal X-ray showed a round radiolucent air-filled cyst. Barium enema revealed a single, large diverticulum of the transverse colon (Fig. 1). Laparotomy showed a giant diverticulum originating from the proximal part of the transverse colon that was 40 cm long, 10–15 cm wide at the bottom and 4–5 cm wide at the gate (Fig. 2). The right half of the colon was dilated and had flabby walls. An extended right hemicolectomy with primary end-to-end anastomosis was performed. Histopathology revealed that the giant diverticulum contained all four layers of the normal bowel wall (Fig. 3). The postoperative course was uneventful, and she was discharged in 1 week without any complications.Fig. 1


Gastrointestinal image: a true giant transverse colon diverticulum.

Olakowski M, Jabłońska B, Lekstan A, Szczęsny-Karczewska W, Pilch-Kowalczyk J, Kohut M - J. Gastrointest. Surg. (2011)

Barium enema showing a giant diverticulum of the transverse colon
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC3116123&req=5

Fig1: Barium enema showing a giant diverticulum of the transverse colon
Mentions: In July 2010, a 22-year-old woman was admitted with a history of constipation and meterorism that were longstanding from childhood. The loss of weight and anorexia secondary to restricted diet appeared several years ago. She underwent appendectomy at the age of 1 year. She had been previously diagnosed in other departments, and based on colonoscopy, dolichocolon had been suggested. Physical examination revealed a large abdominal mass and cachexia (BMI = 15.5 kg/m2). A plain abdominal X-ray showed a round radiolucent air-filled cyst. Barium enema revealed a single, large diverticulum of the transverse colon (Fig. 1). Laparotomy showed a giant diverticulum originating from the proximal part of the transverse colon that was 40 cm long, 10–15 cm wide at the bottom and 4–5 cm wide at the gate (Fig. 2). The right half of the colon was dilated and had flabby walls. An extended right hemicolectomy with primary end-to-end anastomosis was performed. Histopathology revealed that the giant diverticulum contained all four layers of the normal bowel wall (Fig. 3). The postoperative course was uneventful, and she was discharged in 1 week without any complications.Fig. 1

Bottom Line: Barium enema revealed a single, large diverticulum of the transverse colon.The postoperative course was uneventful, and she was discharged in 1 week without any complications.Histopathology showed a true diverticulum containing all layers of the colon.

View Article: PubMed Central - PubMed

Affiliation: Department of Digestive Tract Surgery, Medical University of Silesia, Medyków 14 St, 40-752 Katowice, Poland.

ABSTRACT

Unlabelled: Giant colonic diverticulum is an extremely rare condition in colonic diverticular disease. More than 90% of giant colonic diverticula are found in the sigmoid colon. Inflammatory and pseudodiverticula are the most frequent. Only one case of a true diverticulum of the transverse colon has been reported in the literature.

Case report: We report a case of a 22-year-old woman presenting with constipation and meteorism from childhood. A plain abdominal X-ray showed a round radiolucent air-filled cyst. Barium enema revealed a single, large diverticulum of the transverse colon. An extended right hemicolectomy with primary end-to-end anastomosis was performed. The postoperative course was uneventful, and she was discharged in 1 week without any complications. Histopathology showed a true diverticulum containing all layers of the colon.

Show MeSH
Related in: MedlinePlus