Ohe HaengJin, Chang Yeo Goo
Department of Surgery, Seoul Paik Hospital, Inje University, Republic of Korea.
Department of Surgery, Seoul Paik Hospital, Inje University, Republic of Korea.
Int J Surg Case Rep. 2022 May;94:107011. doi: 10.1016/j.ijscr.2022.107011. Epub 2022 Apr 1.
Giant colonic diverticulum (GCD) is a rare condition defined by diverticular size over 4 cm. Its presentation is usually asymptomatic.
We herein report a rare presentation of ruptured GCD in elderly man who suffered from abdominal pain. The patient underwent primary repair and ileostomy to shorten the operation time instead of Hartmann's operation. Post-operative CT revealed complicated GCD with rupture.
The exact mechanism of GCD generation is questionable. Most of case is discovered by radiologic exam or computed tomography (CT) incidentally. The most common complications of GCD are perforation and abscess formation.
Symptoms of GCD are like those of usual diverticulosis. But, considering the severity of complications, it is better to prioritize surgical treatment at diagnosis.
巨大结肠憩室（GCD）是一种罕见病症，定义为憩室大小超过4厘米。其表现通常无症状。
我们在此报告一名老年男性因腹痛出现的罕见的破裂性GCD病例。患者接受了一期修复和回肠造口术以缩短手术时间，而非哈特曼手术。术后CT显示为伴有破裂的复杂性GCD。
GCD形成的确切机制尚存在疑问。大多数病例是通过放射学检查或计算机断层扫描（CT）偶然发现的。GCD最常见的并发症是穿孔和脓肿形成。
GCD的症状与普通憩室病相似。但是，考虑到并发症的严重性，在诊断时最好优先进行手术治疗。
