Abstract

JWT Tay1 and Akhtar Qureshi2*

Diverticular disease of the colon is a common disease in the Western population. Giant colonic diverticulum is a rare presentation of this disease. We report a case of a 38-year-old female suffering from chronic kidney disease, who presented with chronic constipation and meteorism progressively getting worse over a number of months. Pre-operative imaging revealed a solitary sigmoid mass which later turned out to be a giant diverticulum which was compressing her bladder and ureters. Bilateral ureteric stents were inserted and an anterior resection performed. Recovery of patient post-operatively was uneventful. Histopathology report confirmed a perforated inflamed giant diverticulum in the sigmoid colon. Pathophysiology of giant colonic diverticulum is discussed.