대한대장항문학회

While diverticulosis of the colon is a relatively common disease, a solitary giant colonic<br>diverticulum is rare. Although there exist some theories about the formation of the giant<br>colonic diverticulum, none is really conclusive. The preoperative diagnosis of giant colonic<br>diverticulum is made radiographically with findings of a large, smoothly marginated, round<br>homogeneous radiolucency in the abdomen that is in close apposition to the colon on barium<br>enema examination. Early surgical treatment is necessary since the complication rate is high.<br>One case of giant colonic diverticulum is presented, the clinical, radiologic and pathologic<br>findings are discussed, and the etiology and differential diagnosis, reviewed.<br>