Purpose

Large bowel obstruction and megacolon formation secondary to complicated diverticulitis is rare.

Methods

We present a case of an 84-year-old woman surviving large bowel obstruction and mega-megacolon formation secondary to complicated diverticulitis, with an impressive presentation of abdominal distention.

Results

The patient’s symptoms, laboratory test results, and imaging were consistent with large bowel obstruction. The patient underwent urgent exploratory laparotomy. Upon entry in the abdomen, it was unexpected that the extreme colonic wall thickening had prevented perforation, indicating the longtime course of illness. The biopsy of the specimen from the site of the obstruction demonstrated an inflammatory obstructing mass.

Conclusion

This report aims to point out the atypical and in-extremes presentation of an otherwise common disease.

中文翻译：

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巨型冒号：病例报告。

目的

继发于复杂憩室炎的大肠梗阻和巨结肠形成罕见。

方法

我们介绍了一例84岁的女性，该女性在复杂的憩室炎继发的大肠梗阻和巨结肠形成中幸存下来，并表现出腹胀。

结果

患者的症状，实验室检查结果和影像学检查均符合大肠梗阻。该患者接受了紧急的探索性剖腹手术。进入腹部后，出乎意料的是，极端的结肠壁增厚阻止了穿孔，这表明病情很长。阻塞部位的活检标本显示有炎性阻塞。

结论

本报告旨在指出一种其他常见疾病的非典型和极端表现。