Perforated Jejunal Diverticulitis: a rare cause of acute abdominal pain

Ismail, Imen Ben; Chaabene, Hamadi Ben; Rebii, Saber; Zoghlami, Ayoub

doi:10.1002/ccr3.4594

Cited by 4 publications

(4 citation statements)

References 10 publications

(43 reference statements)

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“…In some studies, it seems that gut enterocytes have been determined to be significant targets of the COVID-19 virus. The virus can enter the cells of the ileum, colon, and esophagus by using Angiotensin-converting enzyme 2 receptors and transmembrane serine protease 2 (TMPRSS2) as a mediator [8,9]. This can lead to gut inflammation and exacerbation of inflammatory bowel diseases, causing negative effects that can worsen the disease severity in both the short and the long term [9].…”

Section: Discussionmentioning

confidence: 99%

“…A comprehensive patient history must be obtained to rule out other conditions such as appendicitis, cholecystitis, colonic diverticulitis, pancreatitis, bowel obstruction, or foreign body perforation [3,4,[8][9][10][11][12][13][14][15][16][17][18][19][20]24,34]. An abdominal X-ray can help detect perforation or obstruction but cannot establish a diagnosis on its own.…”

Section: Discussionmentioning

confidence: 99%

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Small Bowel Diverticulosis and COVID-19: Awareness Is the Key: A Case Series and Review of the Literature

Bangeas,

Konstantinidis,

Chrisopoulou

et al. 2024

Medicina

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Small bowel non-Meckelian diverticulosis is a rare condition with only a few published cases despite being described over 200 years ago. In the midst of the COVID-19 pandemic, studies suggested that many patients may experience gastrointestinal manifestations. Intestinal symptoms could worsen the inflammation and infection associated with small bowel diverticulitis. Here we present three cases: one with inflammation and rupture in a COVID-19 patient and another as an asymptomatic detection. The third case involved recurrence after the first laparoscopic lavage approach. Furthermore, we provide a mini-review of the literature to emphasize the importance of considering this entity in the differential diagnosis of an acute abdomen. In the majority of cases involving small bowel diverticula, conservative management is the preferred approach. However, when complications arise, surgical intervention, including enteroctomy and primary anastomosis, may be necessary to achieve optimal outcomes.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Small Bowel Diverticulosis and COVID-19: Awareness Is the Key: A Case Series and Review of the Literature

Bangeas,

Konstantinidis,

Chrisopoulou

et al. 2024

Medicina

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show abstract

“…These false diverticulae are thought to occur through weaknesses, at sites where the vasa recta enter the muscularis propria. This is a rare finding, with an estimated annual incidence of 0.06-2.3% [1][2][3]. It is rarer than colonic diverticulosis and occurs in the sixth and seventh decades with a male predominance.…”

Section: Introductionmentioning

confidence: 99%

“…Its etiology is unknown and, while often asymptomatic, 10-30% of patients develop non-specific symptoms. A small number of patients present with life-threatening complications like diverticulitis, bleeding, obstruction, and perforation [ 2 , 3 ]. Such complications must be promptly diagnosed to reduce the high risk of morbidity and mortality.…”

Section: Introductionmentioning

confidence: 99%

Isolated Perforation of Multiple Jejunal Diverticulae: A Very Rare Cause of Acute Abdomen

Islam,

Shah,

Naraynsingh

2024

Cureus

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Isolated jejunal diverticular (JD) perforation is extremely rare; it usually presents as a diagnostic dilemma and is often discovered incidentally on laparotomy. Most of these perforations are single. Literature has revealed only one case of multiple small bowel diverticular perforations. We report the first case of simultaneous perforation of four jejunal diverticulae in an 85-year-old male. Small bowel resection and primary anastomosis were performed. The patient had an uneventful post-operative recovery. This case highlights the importance of prompt diagnosis and timely management to reduce the morbidity and mortality of these patients. It should be included in the differential diagnosis in all elderly patients presenting with acute abdomen.

Perforated Jejunal Diverticulitis: a rare cause of acute abdominal pain

Abstract: It is imperative for surgeons to have a heightened awareness of complications of jejunal diverticular disease so that they can act quickly and contribute to a successful clinical outcome for their patients.

Cited by 4 publications

References 10 publications

Small Bowel Diverticulosis and COVID-19: Awareness Is the Key: A Case Series and Review of the Literature

Small Bowel Diverticulosis and COVID-19: Awareness Is the Key: A Case Series and Review of the Literature

Isolated Perforation of Multiple Jejunal Diverticulae: A Very Rare Cause of Acute Abdomen

Jejunal diverticulitis: A new case report and a review of the literature

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