This 64 y/o male with a history of chronic abdominal pain complained of a recent increase in the crampy abdominal discomfort. On physical exam he demonstrated some abdominal tenderness without rebound. He was afebrile, WBC - 8,500 /cc³. Plain abdominal films followed by spiral abdomino-pelvic CT with rectal contrast were performed. Selected images from the abdomino-pelvic CT shown above demonstrate findings of a perforated giant sigmoid diverticulum. Surgical resection of the sigmoid and giant diverticulum was performed.
  1. Kricun R, Stasik JJ, Reither RD, Dex WJ. Giant colonic diverticulum. AJR Am J Roentgenol 1980 Sep;135(3):507-12 UI:80262763
  2. Ueda P, Hall D. Images in clinical medicine. Giant colonic diverticulum. N Engl J Med 1995 Jul 27;333(4):228 UI:95312036
  3. Smith TR, Tyler IM. CT demonstration of a giant colonic diverticulum. Gastrointest Radiol 1987;12(1):73-5 UI:87081264
  4. Fields SI, Haskell L, Libson E. CT appearance of giant colonic diverticulum. Gastrointest Radiol 1987;12(1):71-2 UI:87081263
  5. Siskind BN, Burrell MI, Richter JO, Radin DR. CT appearance of giant sigmoid diverticulum. J Comput Assist Tomogr 1986 May-Jun;10(3):543-4 UI:86196987
  6. Custer TJ, Blevins DV, Vara TM. Giant colonic diverticulum: a rare manifestation of a common disease. J Gastrointest Surg 1999 Sep-Oct;3(5):543-8 UI:99412567
  7. Havenstrite KA, Harris JA, Rivera DE. Giant colonic diverticulum: report of a case. Am Surg 1999 Jun;65(6):578-80 UI:99292335
  8. Naing T, Ray S, Loughran CF. Giant sigmoid diverticulum: a report of three cases. Clin Radiol 1999 Mar;54(3):179-81 UI:99216051
  9. Grover H, Nair S, Hertan H. Giant true diverticulum of sigmoid colon. Am J Gastroenterol 1998 Nov;93(11):2267-8 UI:99036298
  10. Kuganeswaran E, Fisher JK. Giant sigmoid diverticulum: a rare manifestation of diverticular disease. South Med J 1998 Oct;91(10):952-5 UI:99000231
  11. Choong CK, Frizelle FA. Giant colonic diverticulum: report of four cases and review of the literature. Dis Colon Rectum 1998 Sep;41(9):1178-85; discussion 1185-6 UI:98419932
  12. Roger T, Rommens J, Bailly J, Vollont GH, Belva P, Delcour C. Giant colonic diverticulum: presentation of one case and review of the literature. Abdom Imaging 1996 Nov-Dec;21(6):530-3 UI:97032581
  13. Mehta DC, Baum JA, Dave PB, Gumaste VV. Giant sigmoid diverticulum: report of two cases and endoscopic recognition. Am J Gastroenterol 1996 Jun;91(6):1269-71 UI:96237658
  14. D'Almeida MJ, McQuiston JH. Giant sigmoid diverticulum. J Am Osteopath Assoc 1996 May;96(5):309-13 UI:97090541
  15. Naber A, Sliutz AM, Freitas H. Giant diverticulum of the sigmoid colon. Br J Surg 1995 Jul;82(7):985 UI:95376170
  16. Naber A, Sliutz AM, Freitas H. Giant diverticulum of the sigmoid colon. Int J Colorectal Dis 1995;10(3):169-72 UI:96058106
  17. Ellerbroek CJ, Lu CC. Unusual manifestations of giant colonic diverticulum. Dis Colon Rectum 1984 Aug;27(8):545-7 UI:84284851
  18. Al-Jurf AS, Foucar E. Uncommon features of giant colonic diverticula. Dis Colon Rectum 1983 Dec;26(12):808-13 UI:84057112
  19. Patel D, Diab W. Giant colonic diverticulum. N Y State J Med 1983 Apr;83(5):750-4 UI:83245667
  20. Moesgaard J, Felding C. Giant diverticulum of the sigmoid colon. Acta Chir Scand 1983;149(4):445-7 UI:83304718
  21. Rosenberg RF, Naidich JB. Plain film recognition of giant colonic diverticulum. Am J Gastroenterol 1981 Jul;76(1):59-69 UI:82065426
  22. Maresca L, Maresca C, Erickson E. Giant sigmoid diverticulum: report of a case. Dis Colon Rectum 1981 Apr;24(3):191-5 UI:81188209
  23. Muhletaler CA, Berger JL, Robinette CL Jr. Pathogenesis of giant colonic diverticula. Gastrointest Radiol 1981;6(3):217-22 UI:82073695
  24. Wetrich RM, Sidhu DS. Giant sigmoid diverticulum. West J Med 1978 Jun;128(6):539-41 UI:78206291
  25. Wetstein L, Camera A, Trillo RA, Zamora BO. Giant sigmoidal diverticulum: report of a case and review of the literature. Dis Colon Rectum 1978 Mar;21(2):110-2 UI:78168489
  26. Foster DR, Ross B. Giant sigmoid diverticulum: clinical and radiological features. Gut 1977 Dec;18(12):1051-3 UI:78107898
  27. Moss AA. Giant sigmoid diverticulum: clinical and radiographic features. Am J Dig Dis 1975 Jul;20(7):676-83 UI:75202138
  28. Sutorius DJ, Bossert JE. Giant sigmoid diverticulum with perforation. Am J Surg 1974 Jun;127(6):745-8 UI:74176164
  29. Rabinowitz JG, Farman J, Dallemand S, Twerskey J, Rosen Y. Giant sigmoid diverticulum. Am J Roentgenol Radium Ther Nucl Med 1974 Jun;121(2):338-43 UI:74287766
  30. Saha SP, Roesch CB. A giant sigmoid diverticulum: report of a case. Dis Colon Rectum 1972 Jan-Feb;15(1):63-5 UI:72104544
  31. Mainzer F, Minagi H. Giant sigmoid diverticulum. Am J Roentgenol Radium Ther Nucl Med 1971 Oct;113(2):352-4 UI:72012739
  32. Swann JC, Giles KW. Giant diverticulum of the sigmoid colon. Br J Radiol 1971 Jul;44(523):551-3 UI:71231743
  33. Piper JV, Thornley BA. Solitary giant diverticulum of the sigmoid colon. Br J Surg 1968 May;55(5):398-400 UI:68232539

Use the Back or Backward button on your browser to return