Bachelani AM. Natural history and surgical treatment of a giant colonic diverticulum: A case report. World J Clin Cases 2024; 12(17): 3151-3155 [PMID: 38898867 DOI: 10.12998/wjcc.v12.i17.3151]
Corresponding Author of This Article
Arshad M Bachelani, MD, Department of Surgery, Independence Health, 532 W. Pittsburgh Street, Greensburg, PA 15601, United States. abachelani@excelahealth.org
Research Domain of This Article
Surgery
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Jun 16, 2024; 12(17): 3151-3155 Published online Jun 16, 2024. doi: 10.12998/wjcc.v12.i17.3151
Natural history and surgical treatment of a giant colonic diverticulum: A case report
Arshad M Bachelani
Arshad M Bachelani, Department of Surgery, Independence Health, Greensburg, PA 15601, United States
Author contributions: Bachelani AM contributed to this report by managing the patient, researching the topic, and preparing the manuscript.
Informed consent statement: Written informed consent was obtained from the patient for the publication of this report and accompanying images.
Conflict-of-interest statement: The author declares no potential conflicts of interest.
CARE Checklist (2016) statement: The author has read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Arshad M Bachelani, MD, Department of Surgery, Independence Health, 532 W. Pittsburgh Street, Greensburg, PA 15601, United States. abachelani@excelahealth.org
Received: January 16, 2024 Revised: April 11, 2024 Accepted: April 22, 2024 Published online: June 16, 2024 Processing time: 140 Days and 15 Hours
Abstract
BACKGROUND
While diverticular disease is prevalent in the West, the formation of giant colonic diverticula is rare. To date, approximately 200 cases have been reported, with only a handful treated surgically using a minimally invasive approach. Furthermore, the natural history of giant colonic diverticula is not well documented.
CASE SUMMARY
This report describes the case of a 66-year-old man who developed a giant colonic diverticulum with primary symptoms including dull and chronic pain in the right lower quadrant at presentation. The patient had undergone several computed tomography scans of the abdomen and pelvis over the previous two years, through which the natural history of this rare entity could be retrospectively observed. The patient was successfully treated with a robot-assisted sigmoid colectomy and had an uneventful recovery with resolution of symptoms during the follow-up.
CONCLUSION
This rare case demonstrates the natural history of giant colonic diverticulum formation and supports the feasibility of robot-assisted surgery.
Core Tip: Giant colonic diverticula are a rare complication of diverticular disease. Although the symptoms may sometimes be indolent, the present case suggests that they may continue to worsen if managed conservatively. In appropriate patients, a minimally invasive approach is feasible and can lead to enhanced postoperative recovery.
