González GJL, Menéndez NJ

Language: Spanish
References: 13
Page: 205-210
PDF size: 118.51 Kb.

ABSTRACT

Colonic diverticulosis is a frequent pathology in Western countries and represents one of the major gastrointestinal diseases with higher impact on health costs. Its prevalence increases with the age and is present in almost 50 % of adults over 60 years old living in these countries. It has been said that among the reasons for this rise is the low dietary fiber consumption, and the complex interaction among the dietary fiber, the colon wall structure and the intestinal motility. Giant colonic diverticulum (over 4 cm long) is a rare entity; we have found just 156 cases reported in literature. This is the case of a 47 years-old male patient, who presented with multiple comorbidities that cause the unusual presentation of the diverticulum and create difficulties in diagnosing it.

REFERENCES

1. Barredo C. Patología diverticular. En: Ferraina P, Oría A. Cirugía de Michans. 5º ed. Buenos Aires: Editorial El Ateneo; 2003. p. 867-71.

2. Netter FH. Anatomía de la porción inferior del aparato digestivo. En: Colección Ciba de Ilustraciones Médicas. t II. parte. 21 ed. Barcelona: Ed. Salvat; 1983. p. 51-3.

3. Oudenhoven LF, Koumans RK, Puylaert JB. Right colonic diverticulitis: US and TC Findings new insights about frequency and natural history. Radiology. 1998;208 (3):611-8.

4. García Pugés A. Dolor abdominal. En: Farreras P, Rozman C. Medicina Interna. vol. I. 13ª ed. Barcelona: Ed. Doyma; 1995. p. 140-6.

5. Birnbaum BA, Balthazar EJ. CT of appendicitis and diverticulitis. Radiol Clin North Am. 1994;32(5):885-98.

6. Sebastián Atilio Rossini, Rubén F. González Villaveirán, Salvador Merola. Utilidad de la Tomografía Computada helicoidal en la diverticulitis aguda. RAR. Volumen 73 No.3.2009. 291-302.

7. Ahn SH, Mayo-Smith WW, Murphy BL, Reinert SE, Cronan JJ. Acute nontraumatic abdominal pain in adult patients: abdominal radiography compared with CT evaluation. Radiology. 2002;225(1):159-64.

8. Pradel JA, Adell JF, Taourel P, Djafari M, Monnin-Delhom E. Acute colonic diverticulitis: prospective comparative evaluation with US and CT. Radiology 1997;205:503.

9. Urban BA, Fishman EK. Tailored helical CT evaluation of acute abdomen. RadioGraphics. 2000;20(3):725-49.

10. Steenvoorde P, Vogelaar F, Oskam J, Tollenaar R. Giant colonic diverticula: Review of diagnostic and therapeutic options. Dig Surg. 2004;21(1):16.

11. Nicholson Y, Angel L, Caliendo F, Procaccino J. Giant colonic diverticula. Surg Rounds. 2007;5:40-5.

12. Ochoa E, Esquivel C, Badra R, Cornet M, Marangoni A, Divertículo gigante de colon. Presentación de un caso. RAR. 2008;72(4).

13. Welch J, Cohen J. Diverticulitis. In: ACS Surgery: Principles & Practice. New York (USA): WebMD;2007. p. 716.