title: Ruptured giant colonic diverticulum.
abstract: Giant colonic diverticulum (GCD) is a rare complication of diverticular disease with less than 150 cases reported in the English literature. The clinical presentation ranges from asymptomatic to that of an acute abdomen. In most cases, giant colonic diverticulum is found in the sigmoid colon. The ideal treatment is elective resection of the sigmoid colon with primary anastomosis. When the diverticulum presents with perforation or obstruction, however, the treatment is a sigmoid colectomy with diverting colostomy (Hartmann procedure).
authors.affiliation: Department of Surgery, Hospital of Saint Raphael, New Haven, Connecticut 06511, USA.
authors.forename: Fadi
authors.initials: F
authors.lastname: Abou-Nukta
authors.forename: Charles
authors.initials: C
authors.lastname: Bakhos
authors.forename: Charles
authors.initials: C
authors.lastname: Bakhus
authors.forename: Nkemanekum
authors.initials: N
authors.lastname: Ikekpeazu
authors.forename: Kenneth
authors.initials: K
authors.lastname: Ciardiello
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000714:Anastomosis, Surgical; D003082:Colectomy / Q000379:methods*; D012809:Colon, Sigmoid / Q000503:physiopathology / Q000601:surgery; D004241:Diverticulum, Colon / Q000150:complications / Q000175:diagnosis* / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007813:Laparotomy / Q000379:methods; D035583:Rare Diseases; D018570:Risk Assessment; D012422:Rupture, Spontaneous / Q000209:etiology / Q000601:surgery; D012720:Severity of Illness Index; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome