Midgut Volvulus Due to a True Jejunal Diverticula

Saad, Melissa Kyriakos; Geahchan, Amine; Ghandour, Fatimah; Ghandour-Hajj, Fatmeh; Malouf, Hani; Hajj, Imad El; Saikaly, Elias

doi:10.1055/s-0040-1721518

Cited by 5 publications

(5 citation statements)

References 6 publications

(6 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The most common part of the small bowel to be affected by diverticula is the proximal jejunum (75%), followed by the distal (20%) and then the ileum (5%) [4] . Furthermore, seventy seven percent of cases demonstrated multiple as opposed to solitary diverticula [6] . In spite the fact that the jejunum and the ileum are less frequently involved than the duodenum, diverticula in these two localisations are more prone to develop complications [4] .…”

Section: Discussionmentioning

confidence: 99%

Perforated jejunal diverticulum as an unsual cause of acute abdomen: A case report

Mejri

Arfaoui

Hajri

et al. 2022

International Journal of Surgery Case Reports

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Perforated jejunal diverticulum as an unsual cause of acute abdomen: A case report

Mejri

Arfaoui

Hajri

et al. 2022

International Journal of Surgery Case Reports

View full text Add to dashboard Cite

“…Jejunoileal diverticula, characterized by mucosal and submucosal outpouchings originating from the antimesenteric border of the intestine, have an incidence ranging from 0.5% to 2.3%, with multiple diverticula detected in 77% of cases. Middle-agedto-elderly men are predominantly affected [21][22][23][24]. Diagnosis of diverticula is challenging due to non-specific clinical manifestations, necessitating imaging studies, particularly CT scans with oral contrast.…”

Section: Discussionmentioning

confidence: 99%

Acute Chyloperitoneum with Small Bowel Volvulus: Case Series and Systematic Review of the Literature

Sinicropi,

Mazzeo,

Sofia

et al. 2024

JCM

View full text Add to dashboard Cite

Introduction: Chyloperitoneum arises from lymph leakage into the abdominal cavity, leading to an accumulation of milky fluid rich in triglycerides. Diagnosis can be challenging, and mortality rates vary depending on the underlying cause, with intestinal volvulus being just one potential acute cause. Despite its rarity, our case series highlights chyloperitoneum associated with non-ischemic small bowel volvulus. The aims of our study include assessing the incidence of this association and evaluating diagnostic and therapeutic approaches. Material and Methods: We present two cases of acute abdominal peritonitis with suspected small bowel volvulus identified via contrast-enhanced computed tomography (CT). Emergency laparotomy revealed milky-free fluid and bowel volvulus. Additionally, we conducted a systematic review up to 31 October 2023, identifying 15 previously reported cases of small bowel volvulus and chyloperitoneum in adults (via the PRISMA scheme). Conclusions: Clarifying the etiopathogenetic mechanism of chyloperitoneum requires specific diagnostic tools. Magnetic resonance imaging (MRI) may be useful in non-emergency situations, while contrast-enhanced CT is employed in emergencies. Although small bowel volvulus infrequently causes chyloperitoneum, prompt treatment is necessary. The volvulus determines lymphatic flow obstruction at the base of the mesentery, with exudation and chyle accumulation in the abdominal cavity. Derotation of the volvulus alone may resolve chyloperitoneum without intestinal ischemia.

show abstract

“…A small percentage of individuals, ranging from 2% to 4.6%, may experience acute obstruction due to various factors such as adhesions, intussusception, volvulus, and external compression caused by a diverticulum filled with fluid. In rare cases, obstruction can also occur at the diverticulum or the ileocecal valve due to an enterolith formed within the diverticulum [7,8].…”

Section: Discussionmentioning

confidence: 99%

Jejunal Diverticulosis: An Atypical Lead Point for Small Bowel Volvulus

Agarwal,

Ali,

Shetty

2024

Cureus

View full text Add to dashboard Cite

The occurrence of small intestinal diverticula is relatively infrequent compared to its counterpart in the large bowel. Duodenal diverticula exhibit a significantly higher prevalence within the small intestine compared to jejunoileal diverticula, with a ratio of five to one. The occurrence of jejunoileal diverticula exhibits considerable variability and has been documented to range from 0.5% to 2.3% in radiographic series, while autopsy studies have reported rates as high as 7%.We present the clinical details of a 65-year-old male patient who sought medical attention due to a constellation of symptoms, including abdominal pain, vomiting, and obstipation. After adequate resuscitation with IV fluids and preoperative preparation, the patient was transported to the operating room for an emergency exploratory laparotomy. Multiple jejunal diverticuli were identified in the proximal jejunum at the antimesenteric border, less than three feet from the duodenojejunal (DJ) junction.The terminal ileum was found to be 360° rotated counterclockwise around the small bowel mesentery, causing the small intestine to appear congested; however, after clockwise de-rotation, the small bowel regained its normal color. Adhesiolysis and small bowel decompression were performed, and the patient had an uneventful recovery.

show abstract

Midgut Volvulus Due to a True Jejunal Diverticula

Abstract: Jejunal diverticula is a rare condition quoted to affect between 0.5% and 7% of the individuals. This disease is usually clinically silent but becomes symptomatic when complications develop. Among its complications is small bowel volvulus that is a very rare entity.

Cited by 5 publications

References 6 publications

Perforated jejunal diverticulum as an unsual cause of acute abdomen: A case report

Perforated jejunal diverticulum as an unsual cause of acute abdomen: A case report

Acute Chyloperitoneum with Small Bowel Volvulus: Case Series and Systematic Review of the Literature

Jejunal Diverticulosis: An Atypical Lead Point for Small Bowel Volvulus

Contact Info

Product

Resources

About