Giant Colonic Diverticulum a Rare Complication of a Common Disease
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , |
Tipo de documento: | Relatório |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://scielo.pt/scielo.php?script=sci_arttext&pid=S2183-13512022000300027 |
Resumo: | Abstract An 80-year-old patient presented to the emergency room with a bowel obstruction and a tender epigastric mass. An abdominal computed tomography (CT) described a closed loop small bowel obstruction. An exploratory laparotomy revealed a giant sigmoid diverticulum, of 11cm in diameter, which was resected. The specimen was a true McNutt's type III diverticulum. The patient was discharged after a normal postoperative period and did not suffer any recurrence during a follow-up of more than 6 months. This is a rare complication of a common disease with non-specific presentation and not always accurately described by CT scan. Apart from intestinal volvulus, differential diagnoses include duplication cyst, a giant Meckel’s or duodenal diverticulum, pancreatic pseudocyst and pneumatosis cystoides intestinalis. Surgical resection is the recommended treatment to avoid perforation and peritonitis. Diverticulectomy is a safe option for a patient with acute presentation in the emergency room. |
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Giant Colonic Diverticulum a Rare Complication of a Common DiseaseGiant colonic diverticulumDiverticular diseaseBowel obstructionComputed tomography.Abstract An 80-year-old patient presented to the emergency room with a bowel obstruction and a tender epigastric mass. An abdominal computed tomography (CT) described a closed loop small bowel obstruction. An exploratory laparotomy revealed a giant sigmoid diverticulum, of 11cm in diameter, which was resected. The specimen was a true McNutt's type III diverticulum. The patient was discharged after a normal postoperative period and did not suffer any recurrence during a follow-up of more than 6 months. This is a rare complication of a common disease with non-specific presentation and not always accurately described by CT scan. Apart from intestinal volvulus, differential diagnoses include duplication cyst, a giant Meckel’s or duodenal diverticulum, pancreatic pseudocyst and pneumatosis cystoides intestinalis. Surgical resection is the recommended treatment to avoid perforation and peritonitis. Diverticulectomy is a safe option for a patient with acute presentation in the emergency room.Sociedade Portuguesa de Radiologia e Medicina Nuclear2022-12-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/reporttext/htmlhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S2183-13512022000300027Acta Radiológica Portuguesa v.34 n.3 2022reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttp://scielo.pt/scielo.php?script=sci_arttext&pid=S2183-13512022000300027Marques,IsabelPereira,AnaRibas,SóniaReis,Márioinfo:eu-repo/semantics/openAccess2024-02-06T17:29:31Zoai:scielo:S2183-13512022000300027Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T02:33:25.462586Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Giant Colonic Diverticulum a Rare Complication of a Common Disease |
title |
Giant Colonic Diverticulum a Rare Complication of a Common Disease |
spellingShingle |
Giant Colonic Diverticulum a Rare Complication of a Common Disease Marques,Isabel Giant colonic diverticulum Diverticular disease Bowel obstruction Computed tomography. |
title_short |
Giant Colonic Diverticulum a Rare Complication of a Common Disease |
title_full |
Giant Colonic Diverticulum a Rare Complication of a Common Disease |
title_fullStr |
Giant Colonic Diverticulum a Rare Complication of a Common Disease |
title_full_unstemmed |
Giant Colonic Diverticulum a Rare Complication of a Common Disease |
title_sort |
Giant Colonic Diverticulum a Rare Complication of a Common Disease |
author |
Marques,Isabel |
author_facet |
Marques,Isabel Pereira,Ana Ribas,Sónia Reis,Mário |
author_role |
author |
author2 |
Pereira,Ana Ribas,Sónia Reis,Mário |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Marques,Isabel Pereira,Ana Ribas,Sónia Reis,Mário |
dc.subject.por.fl_str_mv |
Giant colonic diverticulum Diverticular disease Bowel obstruction Computed tomography. |
topic |
Giant colonic diverticulum Diverticular disease Bowel obstruction Computed tomography. |
description |
Abstract An 80-year-old patient presented to the emergency room with a bowel obstruction and a tender epigastric mass. An abdominal computed tomography (CT) described a closed loop small bowel obstruction. An exploratory laparotomy revealed a giant sigmoid diverticulum, of 11cm in diameter, which was resected. The specimen was a true McNutt's type III diverticulum. The patient was discharged after a normal postoperative period and did not suffer any recurrence during a follow-up of more than 6 months. This is a rare complication of a common disease with non-specific presentation and not always accurately described by CT scan. Apart from intestinal volvulus, differential diagnoses include duplication cyst, a giant Meckel’s or duodenal diverticulum, pancreatic pseudocyst and pneumatosis cystoides intestinalis. Surgical resection is the recommended treatment to avoid perforation and peritonitis. Diverticulectomy is a safe option for a patient with acute presentation in the emergency room. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-12-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/report |
format |
report |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S2183-13512022000300027 |
url |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S2183-13512022000300027 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S2183-13512022000300027 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Radiologia e Medicina Nuclear |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Radiologia e Medicina Nuclear |
dc.source.none.fl_str_mv |
Acta Radiológica Portuguesa v.34 n.3 2022 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799137393006084096 |