Jejunal diverticulosis

Krishnamurthy, Shoba; Kelly, Mary Margaret; Rohrmann, Charles A.; Schuffler, Michael D.

doi:10.1016/0016-5085(83)90005-7

Cited by 141 publications

(16 citation statements)

References 42 publications

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“…Abnormal motility or hypermotility is thought to be important and obesity, venous stasis, or constipation, which increase intraluminal pressure, are thought to contribute to diverticula formation 2 . A visceral myopathy causing structural and functional abnormalities of the smooth muscle layers with resultant abnormal motility and increased intraluminal pressure has also been proposed as a cause 25 . Only 5% of human patients with jejunal diverticula present with acute symptoms, e.g., hemorrhage, obstruction, or perforation 2 .…”

Section: Discussionmentioning

confidence: 99%

Acquired Jejunal Pseudodiverticula in a Yearling Arabian Filly

et al. 2010

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Section: Discussionmentioning

confidence: 99%

Acquired Jejunal Pseudodiverticula in a Yearling Arabian Filly

et al. 2010

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“…Jejunal diverticula are the consequence of abnormal motility and increased intraluminal pressure due to abnormal structure in either the smooth muscle or myenteric plexus. They are often associated with bowel dysmotility conditions as visceral myopathies, systemic sclerosis and neuropathies [10] . Being deprived of muscularis propria, they are atonic dilatations arising in the mesenteric border in contrast to Meckel's diverticulum in the antimesenteric border [11] .…”

Section: Discussionmentioning

confidence: 99%

Incidental finding of jejunal diverticula during laparotomy for suspected adhesive small bowel obstruction: A case report

Luitel

Shrestha

Adhikari

et al. 2021

International Journal of Surgery Case Reports

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Introduction and importance Jejunal diverticula are usually asymptomatic and are discovered incidentally. While rare, their complications may be life-threatening. They should be considered as differential diagnoses in undiagnosed complaints of chronic abdominal pain, malabsorption, anemia, gastrointestinal bleed and intestinal obstruction. Case presentation A 66-year lady, known hypertensive and hypothyroidism with history of hysterectomy presented with symptoms suggestive of small bowel obstruction. Intraoperatively adhesions between loops of the small intestine, multiple diverticula with two of them impending perforation were found. Resection of 10 cm of jejunum containing diverticula with end-to-end anastomosis was performed. She had uneventful recovery and on 2 months of follow-up she was doing well. Clinical discussion Although diverticula can be found anywhere along the gastrointestinal tract, jejunal diverticula are rare. Most patients are asymptomatic, symptoms if present is non-specific that delay diagnosis causing patients to land up with complications. They are diagnosed incidentally on endoscopy or imaging rather than through clinical suspicion. Asymptomatic cases do not mandate treatment while symptomatic cases can be managed conservatively with surgery being reserved for those with complications. Conclusion Small bowel obstruction due to jejunal diverticula is a rare entity, a diagnosis of which can be confirmed only intra-operatively. So it must be borne as a differential in small bowel obstruction. Timely diagnosis and management will prevent life-threatening complications of it.

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“…The etiology of this entity remains unknown. The most widely accepted theory is that irregular intestinal contractions generate increased segmental intra-luminal pressure, favoring the formation of diverticula [ 3 , 4 ]. Clinical aspects of this entity are variable.…”

Section: Discussionmentioning

confidence: 99%