Perforated jejunal diverticulum: A rare complication

Singh, Sumitoj; Sandhu, Harindra; Aggarwal, Varun

doi:10.4103/1319-3767.84502

Cited by 9 publications

(15 citation statements)

References 3 publications

(4 reference statements)

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“…About 10-30% of patients develop complications like perforation, obstruction, hemorrhage and diverticulitis [2,3]. There are very few case reports in the literature of jejunal diverticulosis presenting with perforation [6,7,9,10] Our patient too remained asymptomatic, until he presented with acute abdomen because of perforated diverticuli.…”

Section: Resultsmentioning

confidence: 96%

“…in India, We have found seven cases of jejunal diverticulosis reported in India, five of them presented with complications like perforation, gastrointestinal bleeding and intestinal obstruction [3,[5][6][7][8][9][10]. In this regard, a recent cadaveric study of duodenum conducted in South India showed the prevalence of 4.2% for duodenal diverticulosis [11].…”

Section: Resultsmentioning

confidence: 99%

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Jejunal Diverticulosis with Perforation – A Challenging Differential Diagnosis of Acute Abdomen: Case Report

NatarajaN

Phansalkar

Varghese

et al. 2015

JCDR

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A 56-year-old male presented with dragging upper abdominal pain of one week duration. There was a history of dyspepsia, abdominal discomfort and vomiting after meals for past one week and low grade fever associated with chills and rigors.On examination, the patient was febrile with a temperature of 99 0 F, pulse rate -110/min, blood pressure -130/90 mm Hg. Abdominal examination revealed generalized tenderness with fullness over the right hypochondrium.Laboratory work up revealed Hb-13g/dl, TLC-10,000/cu.mm, DLC -P90 L7 E1 M2, urea -49mg/dl, creatinine -0.5mg/dl. Abdominal radiograph revealed air under the diaphragm. Abdominal CT scan and ultrasound showed multiple diverticuli in the small intestine [Table/ Fig-1] and air under the diaphragm suggesting perforation.Emergency midline laparotomy was performed. Intra-operatively multiple jejunal diverticuli were found on the mesenteric border. They were located between 8 cm to 20 cm from duodeno-jejunal (DJ) flexure. Serosal purulent exudates and multiple inter-loop adhesions were noted. There was purulent material in the peritoneum as well. Proximal jejunal resection with end to end anastomosis was done. The post operative period was uneventful and the patient was discharged on 10 th day after the surgery. One month follow up was uneventful.Gross examination of resected specimen revealed a segment of small bowel, 65 cm in length with eight outpouchings on the serosal aspect along the mesenteric border, of which largest measured 4x3x1 cm with focal areas of exudates on the serosal aspect and adhesions; smallest measured 2x1.5x0.5cm [Table/ Fig-2]. Three ABStRACtMultiple diverticulosis of the jejunum represents a very rare entity. Jejunal diverticula are found to be the rarest of all small bowel diverticula. The disease is usually asymptomatic and often becomes clinically relevant when complicated. This rarity makes it a difficult differential diagnosis. Related complications such as diverticulitis, perforation, and bleeding and/or intestinal obstruction appear in about 10-30% of the patients which increase the morbidity and mortality rates in such individuals. Here, we present a case of jejunal diverticulosis with perforation who presented with symptoms of acute abdominal pain, vomiting and fever along with a brief review of literature.

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Section: Resultsmentioning

confidence: 96%

Section: Resultsmentioning

confidence: 99%

Jejunal Diverticulosis with Perforation – A Challenging Differential Diagnosis of Acute Abdomen: Case Report

NatarajaN

Phansalkar

Varghese

et al. 2015

JCDR

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“…Jejunal diverticula are a rare, acquired entity. They are usually asymptomatic [1][2][3][4][5][6][7]. When symptomatic they present with chronic non specific symptoms like pain, nausea and malnutrition but they may also present as an acute abdominal emergency.…”

Section: Introductionmentioning

confidence: 99%

“…When symptomatic they present with chronic non specific symptoms like pain, nausea and malnutrition but they may also present as an acute abdominal emergency. Complications include gastrointestinal haemorrhage, intestinal obstruction and perforation [5,7]. Chronic pain and malabsorption occur in 40% of cases while perforation occurs in only 2.3-6.4% of patients [7].…”

Section: Introductionmentioning

confidence: 99%

“…Complications include gastrointestinal haemorrhage, intestinal obstruction and perforation [5,7]. Chronic pain and malabsorption occur in 40% of cases while perforation occurs in only 2.3-6.4% of patients [7]. Due to its rarity, diagnosis is often late which consequently results in high morbidity and mortality associated with this disease [4].…”

Section: Introductionmentioning

confidence: 99%

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Perforated Diverticulum of the Proximal Jejunum with Abscess

Janež¹

2017

MJCCS

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We present a case of an older male patient, who was referred to our department due to long lasting abdominal pain. He had undergone abdominal X-ray, US and CT with contrast but the underlying cause could not have been unequivocally determined. The patient underwent an explorative laparotomy during which an abscess as a consequence of perforated jejunal diverticulum has been found and successfully evacuated.

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Small Bowel Perforations

Marwah

2017

Hot Topics in Acute Care Surgery and Trauma

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Perforated jejunal diverticulum: A rare complication

Cited by 9 publications

References 3 publications

Jejunal Diverticulosis with Perforation – A Challenging Differential Diagnosis of Acute Abdomen: Case Report

Jejunal Diverticulosis with Perforation – A Challenging Differential Diagnosis of Acute Abdomen: Case Report

Perforated Diverticulum of the Proximal Jejunum with Abscess

Small Bowel Perforations

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