Jejunal diverticulitis: imaging to management

Alam, Shahjehan; Rana, Atif; Pervez, Rayyan

doi:10.5144/0256-4947.2014.87

Cited by 16 publications

(16 citation statements)

References 10 publications

(13 reference statements)

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“…They may be solitary or multiple. The causes for surgical removal of a jejunal diverticulum are complete or incomplete bowel obstruction, acute inflammation, hemorrhage, or malabsorption from bacterial overgrowth within the diverticulum [ 13 , 17 , 18 ]. Small bowel volvulus with obstruction of the venous outflow should be added to the list of indications for surgical intervention.…”

Section: Discussionmentioning

confidence: 99%

Acute abdomen caused by a large solitary jejunal diverticulum that induced a midgut volvulus. Report of a case

Nigam

Gao

Steves

et al. 2020

International Journal of Surgery Case Reports

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Highlights Diverticuli are found throughout the gastrointestinal tract from esophagus to rectum. In the jejunum diverticuli are most commonly proximal, multiple and asymptomatic. A large solitary jejunal diverticulum caused life endangering midgut volvulus. In the absence of timely surgical intervention the condition would have been fatal.

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Section: Discussionmentioning

confidence: 99%

Acute abdomen caused by a large solitary jejunal diverticulum that induced a midgut volvulus. Report of a case

Nigam

Gao

Steves

et al. 2020

International Journal of Surgery Case Reports

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“…The incidence of small bowel diverticula is actually unknown as most cases are never revealed due to the mild intensity of symptoms. They have been reported ranges of incidence from 0.02%, up to 100 times higher, to 2.3% in roentgen graphic series [2,12] and up to 5% in post mortem studies [13]. The big difference in reported incidence demostrate that the real incidence of the disease is actually unknown.…”

Section: Discussionmentioning

confidence: 99%

“…Small bowel diverticula are sac like protrusions of the bowel wall consisted of mucosal, submucosal and serosa without muscularis layer [1]. It's a rare disease [2] with an unknown incidence and prevalence and non-specific clinical presentation. The most common symptom is chronic mild abdominal pain and discomfort [3].…”

Section: Introductionmentioning

confidence: 99%

Jejunal Diverticulosis Is a Rather Difficult Diagnosis: Report of a Case and Review of the Literature

Delimpaltadakis¹

2019

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Jejunal diverticulosis is most commonly an incidental intraoperative finding, while rarely can be a clinical diagnosis as demonstrated in our case and on published articles in the literature. Besides the rarity of the disease, a second factor that incommodes the preoperative diagnosis is the vague symptomatology. The case of a 72-year-old male patient is described, who was complaining for mild intensity abdominal pain, with no other specific symptoms. A leucocytosis of 12.500/mm 3 was revealed, with all other laboratory tests being within normal limits. CT scan showed bubbles of free air in abdominal cavity and the decision for surgical exploration was taken. In the operating room multiple large diverticula were found along the jejunum without obvious perforation. A resection of 105 cm of jejunum was performed. Patient's postoperative recovery was uneventful and two years later he does not complain of any abdominal symptoms. Postoperatively an expert radiologist was asked to read and explain the preoperative CT scan. Radiologist's diagnosis was that the patient had either multiple jejunal diverticula or trapped free air in peritoneal cavity. Consequently, the preoperative diagnosis is feasible with a prompt cooperation between surgeon and radiologist and a better interpretation of CT scan findings from the radiologist.

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“…Jejunal diverticula are detected in autopsy series at rates ranging from 1.3% to 4.6%, whereas the rate of radiological detection is between 0.02% and 2.3% (4,5). It is the proximal jejunum where a diverticulum is the most prevalent in the small intestine, and the incidence of diverticula decreases as one progresses towards the ileum.…”

Section: Discussionmentioning

confidence: 99%

“…Abnormal peristalsis, intestinal dyskinesia and high segmental intraluminal pressure are considered the causes of intestinal diverticulum. This pulsion-type pseudodiverticulum is seen on the mesenteric side of the small intestine, where the blood vessels perforate the muscular layer of the bowel wall and create weak areas (4,8). The sizes of jejunal diverticula are generally reported to be several millimeters.…”

Section: Discussionmentioning

confidence: 99%

One of the Rare Causes of Acute Abdomen Leading to Subileus: Jejunal Diverticulitis

et al. 2016

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Background: Jejunal diverticulitis is one of the rare causes of acute abdomen generally seen in the elderly. Jejunal diverticulosis was defined as the herniation of the mucosa and the submucosa from the inside of the muscular layer of the bowel wall on the mesenteric side of the intestine. Case Report: We presented the intraoperative and pathological findings of a 69-year-old male patient who had presented with complaints about abdominal pain, nausea, and vomiting and been operated upon due to subileus and peritonitis induced by large-sized jejunal diverticulitis, along with his computed tomography (CT) findings. Conclusion: Jejunal diverticulitis is uncommon and may be a disease which might be difficult to diagnose when it develops on the basis of the large-sized diverticula resembling intestinal ansae. To the best of our knowledge, the computed tomography and intraoperative findings of a case in which partial resection is applied to the jejunum due to subileus have not been previously presented in the literature.

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Jejunal diverticulitis: imaging to management

Cited by 16 publications

References 10 publications

Acute abdomen caused by a large solitary jejunal diverticulum that induced a midgut volvulus. Report of a case

Acute abdomen caused by a large solitary jejunal diverticulum that induced a midgut volvulus. Report of a case

Jejunal Diverticulosis Is a Rather Difficult Diagnosis: Report of a Case and Review of the Literature

One of the Rare Causes of Acute Abdomen Leading to Subileus: Jejunal Diverticulitis

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