Complicated jejunal diverticulitis: A case report and review of literature

Scheese, Daniel; Alwatari, Yahya; Khan, Jamal; Slaughter, Ashley

doi:10.1002/ccr3.6570

Cited by 2 publications

(1 citation statement)

References 18 publications

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“…Diverticula form in the intestinal wall, in areas of low resistance, due to increased intraluminal pressure ( 4 ). They may have a genetic determinism that should be suspected, especially in the case of diffuse forms ( 5 , 6 ). It is located more frequently in the jejunum than the ileum because the penetrating jejunal arteries have a larger diameter.…”

Section: Discussionmentioning

confidence: 99%

Acute complicated jejunum diverticulitis: a case report with a short literature review

Chiorescu,

Mocan,

Santa

et al. 2024

Front. Med.

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IntroductionJejunal diverticulosis is a rare condition. Most of the time, it is asymptomatic; but it can cause severe complications such as intestinal perforation, mechanical occlusion, and hemorrhage.Case presentationA patient aged 78 years, with a history of biological aortic valve prosthesis, atrial fibrillation, type 2 diabetes mellitus, and chronic obstructive pulmonary disease, presented in the emergency department for acute abdominal pain in the lower abdominal floor, nausea, and inappetence. Abdominal computed tomography revealed an inflammatory block in the hypogastrium, agglutinated small intestinal loops, fecal stasis, and air inclusions. Pulled mesentery and associated internal hernia are suspected. Exploratory laparotomy was performed, revealing an inflammatory block in the hypogastrium, whose dissection revealed inner purulent collection and the appearance of jejunal diverticulitis, a diagnosis confirmed by histopathological examination. Segmental resection of the jejunum with double-layer terminal–terminal enteroenteric anastomosis, lavage, and drainage was performed. The evolution was favorable.ConclusionBased on our brief review, the diagnosis of complicated jejunal diverticulosis is difficult and sometimes not accurately established, even by high-resolution imaging techniques, with diagnostic laparotomy being necessary for these situations. Surgical treatment should be considered before severe complications develop.

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Section: Discussionmentioning

confidence: 99%

Acute complicated jejunum diverticulitis: a case report with a short literature review

Chiorescu,

Mocan,

Santa

et al. 2024

Front. Med.

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Jejunal Diverticular Perforation, Rare but a Serious Entity in the Elderly Population

Vasantham¹,

Raghunath

2023

ijsr

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Compared to colonic diverticula, the jejunum has signicantly less of a tendency to develop diverticulitis because to the diverticulum's bigger size, better intraluminal ow, and relatively sterile jejunal content . Acute intestinal obstruction, diverticular bleeding , and most commonly perforation with mesenteric abscess, localized or global peritonitis are complications of jejunal diverticulitis. Multidectector row computed tomography is now the best diagnostic imaging for small bowel diverticulitis as well as its complications [1]. Treatment depends on the symptomatology of patients, can be non surgical or surgical. Advanced age, concomitant comorbidities , delayed diagnosis , and primarily the gap between perforation and surgery are poor prognostic factors[1]. We present an elderly gentleman whose diagnosis was not made till he had his laparotomy

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Complicated jejunal diverticulitis: A case report and review of literature

Cited by 2 publications

References 18 publications

Acute complicated jejunum diverticulitis: a case report with a short literature review

Acute complicated jejunum diverticulitis: a case report with a short literature review

Jejunal Diverticular Perforation, Rare but a Serious Entity in the Elderly Population

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