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Giant sigmoid diverticulum
Divertículo gigante de sigma
Mikel Fiallegas Cano
, Irene Moraleja Yudego, Blanca Sampedro Andrada, Leticia de Castro Santos, Itxaso Jiménez Iragorri, Noelia Martín Vicente, Jose Luis Cabriada Nuno
Corresponding author
Servicio de Aparato Digestivo, Hospital Galdakao Usánsolo, Galdakao, Biscay, Spain
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He reported an increase in the number of bowel movements (6–8 a day), sometimes with blood, and weight loss of 15<span class="elsevierStyleHsp" style=""></span>kg over the previous six months. He provided tests performed in a private centre, including gastroscopy, showing chronic gastritis and colonoscopy, showing diverticula and haemorrhoids. During the patient’s hospital stay, an abdominal CT was performed (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>) which identified diverticula in the sigmoid colon. MR colonography with contrast (<a class="elsevierStyleCrossRefs" href="#fig0010">Figs. 2 and 3</a>) then showed a giant sigmoid diverticulum measuring about 10<span class="elsevierStyleHsp" style=""></span>cm. The patient was referred to general surgery and subsequently had elective surgery, leading to an improvement in his clinical condition.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Giant diverticula are defined as larger than 4<span class="elsevierStyleHsp" style=""></span>cm in size and are very rare. Most are the result of a valvular mechanism that prevents air from exiting the diverticulum.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> Clinically, they tend to present with a palpable mass and abdominal discomfort. It is common for these diverticula to perforate because of the thinness of the wall, ischaemia and necrosis. In view of the risk of complications, surgical intervention is recommended, even in asymptomatic cases.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a></p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2019-06-22" "fechaAceptado" => "2019-07-04" "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Fiallegas Cano M, et al. Divertículo gigante de sigma. Gastroenterol Hepatol. 2020;43:30–31.</p>" ] ] "multimedia" => array:3 [ 0 => array:8 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 648 "Ancho" => 755 "Tamanyo" => 69638 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Fig. " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Cross-sectional CT.</p>" ] ] 1 => array:8 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 888 "Ancho" => 805 "Tamanyo" => 93771 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Fig. " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Coronal MRI.</p>" ] ] 2 => array:8 [ "identificador" => "fig0015" "etiqueta" => "Fig. 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 1169 "Ancho" => 805 "Tamanyo" => 111864 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0015" "detalle" => "Fig. " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Sagittal MRI.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:2 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Diverticule géant du côlon" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "A. Chater" 1 => "A. Saudemont" 2 => "P. Zerbib" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.jviscsurg.2015.09.010" "Revista" => array:6 [ "tituloSerie" => "J Visc Surg" "fecha" => "2015" "volumen" => "152" "paginaInicial" => "349" "paginaFinal" => "351" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26476678" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "A rare endoscopic finding: severely ulcerated giant sigmoid diverticulum" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "E. Ivanina" 1 => "A. Alizadeh" 2 => "P. Ansari" 3 => "R. Des Jean" 4 => "A. Swaminath" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Gastrointest Endosc" "fecha" => "2018" "volumen" => "87" "paginaInicial" => "1159" "paginaFinal" => "1160" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/24443824/0000004300000001/v1_202001221445/S2444382419302524/v1_202001221445/en/main.assets" "Apartado" => array:4 [ "identificador" => "75461" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images of the month" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/24443824/0000004300000001/v1_202001221445/S2444382419302524/v1_202001221445/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2444382419302524?idApp=UINPBA00004N" ]
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