Kim Ho Jin, Kim Jin Ha, Moon Ok In, Kim Kyung Jong
Department of Surgery, Chosun University School of Medicine, Gwangju, Korea.
Ann Coloproctol. 2013 Oct;29(5):209-12. doi: 10.3393/ac.2013.29.5.209. Epub 2013 Oct 31.
Diverticular disease of the colon is a common disease, and its incidence is increasing gradually. A giant colonic diverticulum (GCD) is a rare entity and is defined as a diverticulum greater than 4 cm in size. It mainly arises from the sigmoid colon, and possible etiology is a ball-valve mechanism permitting progressive enlargement. A plain abdominal X-ray can be helpful to make a diagnosis initially, and a barium enema and abdominal computed tomography may confirm the diagnosis. Surgical intervention is a definite treatment for a GCD. We report a case of an ascending GCD presenting with intussusception in a young adult.
结肠憩室病是一种常见疾病,其发病率正在逐渐上升。巨大结肠憩室(GCD)是一种罕见的病症,定义为大小超过4厘米的憩室。它主要起源于乙状结肠,可能的病因是球阀机制导致憩室逐渐增大。腹部平片最初有助于诊断,钡灌肠和腹部计算机断层扫描可能会确诊。手术干预是治疗GCD的明确方法。我们报告一例年轻成人升结肠GCD伴肠套叠的病例。