Abstract | INTRODUCTION: Giant diverticulum of the colon is a rare but clinically significant condition, usually regarded as a complication of an already existing colonic diverticular disease. This is the first report of a giant diverticulum of the colon with a co-existing rectal carcinoma. CASE PRESENTATION: We report a case of a 66-year-old Caucasian woman who presented with lower abdominal pain, chronic constipation and abdominal swelling. Preoperative abdominal computed tomography revealed a giant diverticulum of the colon with a coexisting rectal carcinoma and pulmonary metastasis revealed on a further thoracic computed tomography. An en bloc anterior resection of the rectum along with sigmoid colectomy, partial hysterectomy and right salpingoophorectomy was subsequently performed due to extensive adhesions. CONCLUSION: This report shows that the presence of a co-existing distal colorectal cancer can potentially lead to progressive development of a colonic diverticulum to become a giant diverticulum by increasing colonic intra- luminal pressure and through the ball-valve mechanism. This may be of interest to practising surgeons and surgical trainees.
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Authors | Walid Sasi, Issam Hamad, Aidan Quinn, Abdul Rahman Nasr |
Journal | Journal of medical case reports
(J Med Case Rep)
Vol. 4
Pg. 324
(Oct 18 2010)
ISSN: 1752-1947 [Electronic] England |
PMID | 20955549
(Publication Type: Journal Article)
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