Giant True Diverticulum of Sigmoid Colon with Component of False Diverticulum: Report of a Case

乙狀結腸之真巨大憩室合併偽憩室症：病例報告

梁偉雄(Wai-Hung Leung) ； 劉建國(Chien-Kuo Liu) ； 張國明(Kuo-Ming Chang)

《Formosan Journal of Surgery》 37卷4期 (2004/07) Pp. 182-185

https://doi.org/10.29833/FJS.200407.0007

摘要

結腸之巨大憩室症為不常見之疾病。大部份之病例報告多為偽憩室，真結腸巨大憩室則更為罕見，而其壁則含有正常大腸之各層結構。我們報告一例十九歲智障女性，其表現為急性腹痛，手術發現一6×4×4公分之乙狀結腸憩室。我們作憩室之楔狀切除後，其乙狀結腸作直接逢合。病理報告為慢性發炎之真巨大憩室，而於其頂部同時發現約一公分之偽憩室 • 病人術後復原情況良好，並於二週後出院。

並列摘要

Giant colonic diverticulum (GCD) is a rare condition. Most reported cases were of false type and the wall of diverticulum is composed of fibrous tissue rather than smooth muscle layer. True GCD is even rarer and its wall is composed of all layers as in normal colon. We report a 19-year-old mentally retarded female with acute abdomen. At operation, a diverticular mass of the redundant sigmoid colon with size 6 X 4 X 4 cm was noted. We performed complete wedge resection of the diverticulum and primary closure of the sigmoid colon. Pathology showed it was a true diverticuhim with chronic inflammation, a component of false diverticuhim of 1 cm was also noted at its tip. Postoperative course was smooth and the patient was discharged from our hospital after 2 weeks.

並列關鍵字

giant colonic diverticulum ； true diverticulum ； false diverticulum