[Giant diverticula of the colon. Apropos of 2 cases].
Giant diverticulum of the colon is a rare complication of the colonic diverticulosis. It generally involves the sigmoid colon. In the chronic form, without symptoms or with only a few non-specific symptoms, an abdominal mass is frequently palpable. A plain abdominal radiogram, showing a gas-filled cyst, can suggest the diagnosis. If needed, an abdominal CT scan is appropriate and seems to be more accurate than a barium enema. The treatment of choice is a segmental resection of the colon involving the giant diverticulum, followed by a direct anastomosis. Despite the old age of these patients, both postoperative morbidity and mortality are low and justify such a radical approach. The acute clinical presentation (about 20%) is generally due to a peritonitis by perforation of the giant diverticulum and requires an emergency colectomy.
Roth
T
T
Département de chirurgie viscérale, centre hospitalier Princesse Grace, Monaco, Principauté de Monaco.
Demartines
N
N
Gavelli
A
A
Huguet
C
C
D000368:Aged; D003082:Colectomy; D004241:Diverticulum, Colon / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery; D004630:Emergencies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed
Les diverticules géants du côlon. A propos de deux cas.