Titre
Les diverticules geants du colon. A propos de deux cas. [Giant diverticula of the colon. Apropos of 2 cases]
Type
étude de cas
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Périodique
Auteur(s)
Roth, T.
Auteure/Auteur
Demartines, N.
Auteure/Auteur
Gavelli, A.
Auteure/Auteur
Huguet, C.
Auteure/Auteur
Liens vers les personnes
Liens vers les unités
ISSN
0001-4001
Statut éditorial
Publié
Date de publication
1999-06
Volume
124
Numéro
3
Première page
307
Dernière page/numéro d’article
12
Notes
Case Reports
English Abstract
Journal Article --- Old month value: Jun
English Abstract
Journal Article --- Old month value: Jun
Résumé
Giant diverticulum of the colon is a rare complication of the colonic diverticulosis. It generally involves the sigmoid colon. In the chronic form, without symptoms or with only a few non-specific symptoms, an abdominal mass is frequently palpable. A plain abdominal radiogram, showing a gas-filled cyst, can suggest the diagnosis. If needed, an abdominal CT scan is appropriate and seems to be more accurate than a barium enema. The treatment of choice is a segmental resection of the colon involving the giant diverticulum, followed by a direct anastomosis. Despite the old age of these patients, both postoperative morbidity and mortality are low and justify such a radical approach. The acute clinical presentation (about 20%) is generally due to a peritonitis by perforation of the giant diverticulum and requires an emergency colectomy.
Sujets
PID Serval
serval:BIB_3B6AB91FE1B8
PMID
Date de création
2008-01-28T07:53:47.033Z
Date de création dans IRIS
2025-05-20T16:30:04Z