MALT lymphoma arising in giant diverticulum of ascending colon.
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Diverticulosis of the colon is a fairly common disease, but a solitary giant diverticulum is relatively rare. This case presented with symptoms of urinary and bowel obstruction.
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The giant diverticulum of the colon is a rare entity first diagnosed by Bouvin and Bonte in 1946. Few cases have been reported in the literature. It is normally located in the antimesenteric border of the sigmoid colon. In most cases it is considered to be an uncommon complication of a common disease: colonic diverticulosis. We present a case of giant diverticulum of the sigma diagnosed in an 80-year-old man and we describe the plain-film and CT findings.
A case is reported in which bleeding from a Meckel's diverticulum was mistakenly localized to the hepatic flexure of the colon on superior mesenteric angiography. An unusually long and mobile mesentery, allowing the bleeding Meckel's diverticulum to be positioned high in the right upper quadrant, led to this misdiagnosis. The case illustrates several fundamental principles about the technique and interpretation of mesenteric angiograms.
Giant colonic diverticulum is a rare complication of diverticular disease. In the English literature, only 81 cases have been described. Twelve patients had complications caused by the giant diverticulum. Seventy patients were treated operatively, and three died. Elective resection of the diverticulum and the adjacent colon with primary anastomosis is the ideal treatment. The significant number of complications caused by the giant diverticulum and the low morbidity and mortality rate associated with surgical treatment reinforce the importance of accurate diagnosis and elective treatment of this disorder.
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