title: [Giant diverticulum of the sigmoid].
abstract: This reports a rare case of diverticulum of the sigmoid in a 73 years old patient, which presence was detected about 4 years before surgery. This giant diverticulum manifested itself mainly through pain followed by anorexia. On X-ray it had the appearance of a gas cyst. The pathogeny of such a diverticulum is to be found in inflammatory factors at the base of implantation; it results from pressure effects in the diverticulum with the probable action of anaerobic bacterial fermentation. The pathologic examination does not always allow differenciation between a giant diverticulum and a duplication, especially where the later communicates with the digestive tract. The indications and surgical techniques are discussed.
mesh_terms: D000368:Aged; D004241:Diverticulum, Colon / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008297:Male; D012810:Sigmoid Diseases / Q000175:diagnosis / Q000601:surgery*
vernacular_title: Diverticule géant du sigmoïde.