<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2183-1351</journal-id>
<journal-title><![CDATA[Acta Radiológica Portuguesa]]></journal-title>
<abbrev-journal-title><![CDATA[Acta Radiol Port]]></abbrev-journal-title>
<issn>2183-1351</issn>
<publisher>
<publisher-name><![CDATA[Sociedade Portuguesa de Radiologia e Medicina Nuclear]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2183-13512022000300027</article-id>
<article-id pub-id-type="doi">10.25748/arp.27307</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Giant Colonic Diverticulum a Rare Complication of a Common Disease]]></article-title>
<article-title xml:lang="pt"><![CDATA[Divertículo Cólico Gigante uma Complicação Rara de uma Doença Comum]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Marques]]></surname>
<given-names><![CDATA[Isabel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pereira]]></surname>
<given-names><![CDATA[Ana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ribas]]></surname>
<given-names><![CDATA[Sónia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Reis]]></surname>
<given-names><![CDATA[Mário]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital de Braga Serviço de Cirurgia Geral ]]></institution>
<addr-line><![CDATA[Braga ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Póvoa de Varzim e Vila do Conde Serviço de Cirurgia Geral ]]></institution>
<addr-line><![CDATA[Póvoa de Varzim ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Santa Maria Maior Serviço de Cirurgia Geral ]]></institution>
<addr-line><![CDATA[Barcelos ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>12</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>12</month>
<year>2022</year>
</pub-date>
<volume>34</volume>
<numero>3</numero>
<fpage>27</fpage>
<lpage>29</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2183-13512022000300027&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2183-13512022000300027&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2183-13512022000300027&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract An 80-year-old patient presented to the emergency room with a bowel obstruction and a tender epigastric mass. An abdominal computed tomography (CT) described a closed loop small bowel obstruction. An exploratory laparotomy revealed a giant sigmoid diverticulum, of 11cm in diameter, which was resected. The specimen was a true McNutt's type III diverticulum. The patient was discharged after a normal postoperative period and did not suffer any recurrence during a follow-up of more than 6 months. This is a rare complication of a common disease with non-specific presentation and not always accurately described by CT scan. Apart from intestinal volvulus, differential diagnoses include duplication cyst, a giant Meckel&#8217;s or duodenal diverticulum, pancreatic pseudocyst and pneumatosis cystoides intestinalis. Surgical resection is the recommended treatment to avoid perforation and peritonitis. Diverticulectomy is a safe option for a patient with acute presentation in the emergency room.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo Um doente de 80 anos recorreu ao serviço de urgência, em oclusão, com uma massa epigástrica dolorosa. A Tomografia computorizada (TC) indicava oclusão de delgado, em ansa fechada. Na laparotomia exploradora constatou-se um divertículo gigante do sigmóide, com 11cm de diâmetro, sem qualquer alteração a nível do intestino delgado. Procedeu-se a diverticulectomia. A histologia da peça revelou tratar-se de um divertículo verdadeiro tipo III, segundo a classificação de McNutt. O doente permaneceu assintomático, ao fim de mais de 6 meses de seguimento. Um divertículo gigante é uma complicação rara, de uma doença comum. A sua apresentação, inespecífica, nem sempre é esclarecida pelos achados da TC. Além de volvo intestinal, outros diagnósticos diferenciais incluem cistos de duplicação, divertículo gigante de Meckel ou duodenal, pseudocisto pancreático ou Pneumatose cística intestinal. O tratamento deve passar por resseção de forma a evitar perfuração e peritonite. A diverticulectomia é uma opção válida e menos invasiva.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Divertículo gigante]]></kwd>
<kwd lng="pt"><![CDATA[Doença diverticular]]></kwd>
<kwd lng="pt"><![CDATA[Oclusão intestinal]]></kwd>
<kwd lng="pt"><![CDATA[Tomografia computorizada.]]></kwd>
<kwd lng="en"><![CDATA[Giant colonic diverticulum]]></kwd>
<kwd lng="en"><![CDATA[Diverticular disease]]></kwd>
<kwd lng="en"><![CDATA[Bowel obstruction]]></kwd>
<kwd lng="en"><![CDATA[Computed tomography.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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