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

Intussusception caused by an inverted colonic diverticulum: a case report

Background

Intussusception is an unusual disorder among the complications of diverticula in adults. This study aimed to report intussusception due to an inverted colonic diverticulum. Such a large inverted colonic diverticulum has rarely been reported.

Case presentation

A 62-year-old Chinese woman presented to the First Hospital of Jilin University with abdominal pain, vomiting, and bloody stool. Preoperative computed tomography imaging indicated intussusception. The intraoperative diagnosis was consistent with postoperative pathology. Our patient was diagnosed as having an inverted colonic diverticulum near the ileocecal valve with intussusception and intestinal necrosis.

Conclusion

Although inverted colonic diverticulum is extremely rare, it should also be considered among the causative factors of intussusception.

Case report of a giant colonic sigmoid diverticulum causing sigmoid volvulus

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Giant colonic diverticulum is a rare complication of colonic diverticulosis that occurs when a single diverticulum enlarges to over 4 cm in diameter.

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The author presents a rare case of a giant colonic diverticulum that presented as a sigmoid volvulus. The management and pathology are discussed.

Introduction

Giant colonic diverticulum is a rare complication of colonic diverticulosis that occurs when a single diverticulum enlarges to over 4 cm in diameter. There have been fewer than 200 cases reported worldwide since it was first described in 1946.

Presentation of case

The author presents a rare case of a giant colonic diverticulum that presented as a sigmoid volvulus. The patient underwent emergency surgery with resection of the diverticulum and reduction of the volvulus.

Discussion

Due to their propensity to cause complications and mechanical blockage from their large size, all authors recommend surgical resection of giant colonic diverticula. This has been documented to be safely done by diverticulectomy as was performed in this patient, but also by segmental colectomy, laparoscopic diverticulectomy, or laparoscopic colectomy.

Conclusion

Giant colonic diverticulum is a rare entity that tends to cause many intra-abdominal complications, including volvulus. Surgical resection is recommended once identified.