title: [Giant colonic or ileo-jejunal diverticulum and infra-mesocolic abdomial pseudocysts: diagnosis, pathalogical and clinical analysis].
abstract: 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.
authors.affiliation: Unité de Chirurgie Digestive, Hôpital Privé d'Antony, Antony. jfgillion@wanadoo.fr
authors.forename: J F
authors.initials: JF
authors.lastname: Gillion
authors.forename: M C
authors.initials: MC
authors.lastname: Julles
authors.forename: J P
authors.initials: JP
authors.lastname: Convard
authors.forename: M
authors.initials: M
authors.lastname: Laroudie
authors.forename: A
authors.initials: A
authors.lastname: Balaton
authors.forename: B
authors.initials: B
authors.lastname: Karkouche
authors.forename: G
authors.initials: G
authors.lastname: Berthelot
authors.forename: A
authors.initials: A
authors.lastname: Bonan
authors.forename: J M
authors.initials: JM
authors.lastname: Bonnichon
authors.forename: J M
authors.initials: JM
authors.lastname: Chollet
authors.forename: J M
authors.initials: JM
authors.lastname: Molkhou
mesh_terms: 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