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    Giant sigmoid diverticulum with coexisting metastatic rectal carcinoma: a case report.

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    Authors
    Sasi, Walid
    Hamad, Issam
    Quinn, Aidan
    Nasr, Abdul Rahman
    Affiliation
    Department of Surgery, Louth County Hospital, Dundalk, Co Louth, Ireland. wsasi2003@yahoo.co.uk.
    Issue Date
    2010
    
    Metadata
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    Citation
    Giant sigmoid diverticulum with coexisting metastatic rectal carcinoma: a case report. 2010, 4:324 J Med Case Reports
    Journal
    Journal of medical case reports
    URI
    http://hdl.handle.net/10147/204635
    DOI
    10.1186/1752-1947-4-324
    PubMed ID
    20955549
    Abstract
    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.
    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.
    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.
    Item Type
    Article
    Language
    en
    ISSN
    1752-1947
    ae974a485f413a2113503eed53cd6c53
    10.1186/1752-1947-4-324
    Scopus Count
    Collections
    Louth County Hospital

    entitlement

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