Gillion JF, Julles MC, Convard JP, Laroudie M, Balaton A, Karkouche B, Berthelot G, Bonan A, Bonnichon JM, Chollet JM, Molkhou JM. Diverticules géants du grêle et du côlon et formations pseudo kystiques sous-mésocoliques.
ACTA ACUST UNITED AC 2005;
142:248-56. [PMID:
16335900 DOI:
10.1016/s0021-7697(05)80913-5]
[Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
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.
Collapse