Abou-Nukta Fadi, Bakhos Charles, Ikekpeazu Nkemanekum, Ciardiello Kenneth
Department of Surgery, Hospital of Saint Raphael, New Haven, Connecticut 06511, USA.
Am Surg. 2005 Dec;71(12):1073-4.
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).
巨大结肠憩室（GCD）是憩室病的一种罕见并发症，英文文献报道的病例少于150例。临床表现从无症状到急腹症不等。在大多数情况下，巨大结肠憩室见于乙状结肠。理想的治疗方法是择期切除乙状结肠并进行一期吻合。然而，当憩室出现穿孔或梗阻时，治疗方法是乙状结肠切除术并做转流性结肠造口术（哈特曼手术）。
