Giant Diverticular Surprise : ACG Case Reports Journal

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Giant Diverticular Surprise

Shah, Neal DO1; Razzano, Anthony MD2; Modayil, Rani MD2

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ACG Case Reports Journal 8(8):p e00642, August 2021. | DOI: 10.14309/crj.0000000000000642
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A 77-year-old woman with a medical history of iron deficiency anemia, previous collapsed vocal cord, and previous diverticular bleed 3 years earlier presented with 2 episodes of painless, bright red blood per rectum requiring multiple transfusions. The patient was febrile, tachycardic, and tachypneic. Abdominal and pelvic computed tomography with contrast (Figure 1) showed a sigmoid colon with 13-cm giant diverticulum with mild wall thickening and inflammatory stranding, suggesting a diagnosis of acute diverticulitis. She was managed conservatively and placed on intravenous ceftriaxone. Her symptoms resolved as she was transitioned to oral antibiotics on discharge. The patient remains stable in the outpatient setting, and a follow-up is planned with surgery for elective sigmoid colectomy.

Figure 1.:
(A) Coronal, (B) transverse, and (C) sagittal view of abdominal and pelvic computed tomography with contrast showing a sigmoid colon with a giant diverticulum.


Author contributions: All authors contributed equally to this manuscript. N. Shah is the article guarantor.

Financial disclosure: None to report.

Informed consent was obtained for this case report.

© 2021 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The American College of Gastroenterology.