Resumo

GONZALEZ GONZALEZ, José Luis  e  MENENDEZ NUNEZ, Joaquín. Complicated sigmoid giant diverticulum seen in a diabetic patient. Rev Cubana Cir [online]. 2013, vol.52, n.3, pp. 205-210. ISSN 0034-7493.

Colonic diverticulosis is a frequent pathology in Western countries and represents one of the major gastrointestinal diseases with higher impact on health costs. Its prevalence increases with the age and is present in almost 50 % of adults over 60 years old living in these countries. It has been said that among the reasons for this rise is the low dietary fiber consumption, and the complex interaction among the dietary fiber, the colon wall structure and the intestinal motility. Giant colonic diverticulum (over 4 cm long) is a rare entity; we have found just 156 cases reported in literature. This is the case of a 47 years-old male patient, who presented with multiple comorbidities that cause the unusual presentation of the diverticulum and create difficulties in diagnosing it.

Palavras-chave : colon; diverticulitis; perforation.

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