[Giant colonic or ileo-jejunal diverticulum and infra-mesocolic abdomial pseudocysts: diagnosis, pathalogical and clinical analysis].
Giant diverticula of the small intestine and colon are rare. Four cases treated at our institution in the last year are reported and compared to published cases; specific features and those which differentiate them from abdominal pseudocysts are described. They most commonly present a clinical tableau similar to commonplace diverticular disease. Awareness of this unusual condition and a good CT study are the keys to diagnosis. Giant diverticula may be acquired or congenital. The acquired type is simply a more spectacular version of commonplace diverticulosis while the congenital type, having a muscular wall and myenteric plexus, is more akin to intestinal duplications. Treatment is surgical and, in the case of sigmoid giant diverticula, usually requires a colon resection similar to that required for sigmoid diverticulitis.
Gillion
J F
JF
Unité de Chirurgie Digestive, Hôpital Privé d'Antony, Antony. jfgillion@wanadoo.fr
Julles
M C
MC
Convard
J P
JP
Laroudie
M
M
Balaton
A
A
Karkouche
B
B
Berthelot
G
G
Bonan
A
A
Bonnichon
J M
JM
Chollet
J M
JM
Molkhou
J M
JM
D000368:Aged; D003560:Cysts / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery; D003937:Diagnosis, Differential; D004241:Diverticulum, Colon / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D007077:Ileal Diseases / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery; D007579:Jejunal Diseases / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed