Case report of a giant colonic sigmoid diverticulum causing sigmoid volvulus.
BACKGROUND
Giant colonic diverticulum is a rare complication of colonic diverticulosis that occurs when a single diverticulum enlarges to over 4cm in diameter. There have been fewer than 200 cases reported worldwide since it was first described in 1946.


METHODS
The author presents a rare case of a giant colonic diverticulum that presented as a sigmoid volvulus. The patient underwent emergency surgery with resection of the diverticulum and reduction of the volvulus.


CONCLUSIONS
Due to their propensity to cause complications and mechanical blockage from their large size, all authors recommend surgical resection of giant colonic diverticula. This has been documented to be safely done by diverticulectomy as was performed in this patient, but also by segmental colectomy, laparoscopic diverticulectomy, or laparoscopic colectomy.


CONCLUSIONS
Giant colonic diverticulum is a rare entity that tends to cause many intra-abdominal complications, including volvulus. Surgical resection is recommended once identified.
Department of General Surgery, Huron Medical Center, Bad Axe, MI 48413, USA. Electronic address: heartandbones@yahoo.com.
John Alfred
JA
Carr
Complications; Diverticulosis; Giant colonic diverticulum; Sigmoid colon; Volvulus