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Endoscopy 2001; 33(8): 734
DOI: 10.1055/s-2001-16209
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© Georg Thieme Verlag Stuttgart · New York

Giant Diverticulum of the Ascending Colon

J. C. Kang, S. W. Jao, P. C. Chao, C. C. Wu
  • Division of Colorectal Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, R.O.C.
Further Information

S. W. Jao,M.D. 

Division of Colorectal Surgery
Tri-Service General Hospital

FL4, No. 38-4, Section 3
Ting Chow Road
Taipei, R.O.C.
Taiwan

Fax: + 886-2-23681840

Email: jckang@ms22.hinet.net

Publication History

Publication Date:
31 December 2001 (online)

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Table of Contents
    Zoom Image

    Figure 1We report a rare case of a patient with a giant diverticulum of the ascending colon who presented with lower gastrointestinal bleeding. Giant diverticulum of the ascending colon is a rare complication of diverticular disease. To our knowledge, this is the first reported case of a wide-base giant diverticulum of the ascending colon complicating lower gastrointestinal bleeding. This is also the first report of the application of colonoscopy in the initial diagnosis of giant colonic diverticulum. The colonoscopic study shows the giant diverticulum with a wide-base opening, measuring 3 cm in diameter (arrowheads).

    Zoom Image

    Figure 2Barium enema examination shows a solitary giant diverticulum of the ascending colon, approximately 9 × 7 cm in diameter.

    S. W. Jao,M.D. 

    Division of Colorectal Surgery
    Tri-Service General Hospital

    FL4, No. 38-4, Section 3
    Ting Chow Road
    Taipei, R.O.C.
    Taiwan

    Fax: + 886-2-23681840

    Email: jckang@ms22.hinet.net

    S. W. Jao,M.D. 

    Division of Colorectal Surgery
    Tri-Service General Hospital

    FL4, No. 38-4, Section 3
    Ting Chow Road
    Taipei, R.O.C.
    Taiwan

    Fax: + 886-2-23681840

    Email: jckang@ms22.hinet.net

       Permissions and Reprints
    Zoom Image

    Figure 1We report a rare case of a patient with a giant diverticulum of the ascending colon who presented with lower gastrointestinal bleeding. Giant diverticulum of the ascending colon is a rare complication of diverticular disease. To our knowledge, this is the first reported case of a wide-base giant diverticulum of the ascending colon complicating lower gastrointestinal bleeding. This is also the first report of the application of colonoscopy in the initial diagnosis of giant colonic diverticulum. The colonoscopic study shows the giant diverticulum with a wide-base opening, measuring 3 cm in diameter (arrowheads).

    Zoom Image

    Figure 2Barium enema examination shows a solitary giant diverticulum of the ascending colon, approximately 9 × 7 cm in diameter.