DOI: 10.36347/sjams.2015.v03i01.089

Pages: 455-459

Colonic diverticular disease is relatively common in the western hemisphere but a giant colonic diverticulum (GCD) is an unusual finding. A case of GCD with radiographic features suggestive of an appendicular mucocele/ intussusception is reported. At surgery a diagnosis of an appendicular pyocele was considered. The present case makes interesting reading due to it occurring against a background of tuberculosis in a patient much younger than that reported in literature and due to an unusual pathogenesis. Due to its gross appearance and location, GCD can be distinguished from other diseases of the gastrointestinal tract which can have similar characteristics on physical examination and imaging studies. The severe complications of the giant colonic diverticulum and its surgical significance make this condition important to recognize.