ISSN 2167-0404
International Journal of Medicine and Medical Sciences ISSN: 2167-0404 Vol. 3 (3), pp. 381-382, March, 2013. © International Scholars Journals
Case Report
Giant solitary colonic diverticulum presenting as an abdominal mass: A case report
JWT Tay1 and Akhtar Qureshi2*
1University of Bristol, Faculty of Medicine and Dentistry, 69 St Michael’s Hill, Bristol BS2 8DZ, United Kingdom.
2Head, Division of Surgery, Sunway Medical Centre, No. 5, Jalan Lagoon Selatan, 46150 Petaling Jaya, Malaysia.
*Corresponding Author. E-mail: [email protected]
Accepted 08 January, 2013
Abstract
Diverticular disease of the colon is a common disease in the Western population. Giant colonic diverticulum is a rare presentation of this disease. We report a case of a 38-year-old female suffering from chronic kidney disease, who presented with chronic constipation and meteorism progressively getting worse over a number of months. Pre-operative imaging revealed a solitary sigmoid mass which later turned out to be a giant diverticulum which was compressing her bladder and ureters. Bilateral ureteric stents were inserted and an anterior resection performed. Recovery of patient post-operatively was uneventful. Histopathology report confirmed a perforated inflamed giant diverticulum in the sigmoid colon. Pathophysiology of giant colonic diverticulum is discussed.
Key words: Sigmoid colon, diverticulum, giant.