Prevalence of Duodenal Diverticulum in South Indians: A Cadaveric Study

Sakthivel, Sulochana; Kannaiyan, Kavitha; Thiagarajan, Sivakami

doi:10.5402/2013/767403

Cited by 16 publications

(15 citation statements)

References 22 publications

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“…17 Diverticulosis was responsible for approximately 15 to 55 percent of LGIB in the most series which were conducted in western population. 16,18 A study conducted by Sakthivel S et al, reported that incidence of Diverticulosis in India is about 4.2%. However, hemorrhoids were the most common cause of rectal bleeding in patients under the age of 50 years in another study.…”

Section: Discussionmentioning

confidence: 99%

Etiological profile of patients presenting with lower gastrointestinal bleeding at tertiary care hospital at Belagavi: a cross sectional study

et al. 2017

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Background: Lower gastrointestinal bleeding (LGIB) is bleeding arising below the ligament of Treitz. Hemorrhage from the lower gastrointestinal (GI) tract accounts for about 20% of all cases of acute GI bleeding. Lower GI bleeding is that which occurs from the colon, rectum, or anus, and presenting as either hematochezia (bright red blood or red wine color stools) or malena, blood streaking of the stool. The objective of this study was to evaluate the etiological profile of patients presenting with lower gastrointestinal bleeding.Methods: This one-year cross-sectional study was conducted in the Department of Medicine, KLES Dr. Prabhakar Kore Hospital and Medical Research Centre, Belagavi from January 2015 to December 2015. The study design was a cross-sectional study. This study was carried out from January 2015 to December 2015. Patients with lower gastro-intestinal bleeding presenting at Department of Medicine and Department of Gastro-enterology, KLES Dr. Prabhakar Kore Hospital and Medical Research Centre, Belagavi were studied.Results: In the present study majority of the patients were males with the mean age was 43.82±17.96 years and majority of the patients were married with moderate built and nourishment. As per the occupation majority were housewives followed by students. In the present study diabetes mellitus was the most common medical history reported. Internal haemorrhoids was significantly associated with male sex, student’s profession followed by housewife with mixed diet consumption, the clinical presentations significantly associated with internal haemorrhoids were haematochezia, loss of appetite, tenesmus, passage of mucus in stools, constipation, abdominal pain and vomiting.Conclusions: Internal hemorrhoids is the most common cause followed by ulcerative colitis. Though not common, carcinoma colon, solitary rectal ulcer syndrome, polyp, colonic diverticulosis, ischaemic colitis, non-specific proctitis, and radiation proctitis are the other causes of LGIB.

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Section: Discussionmentioning

confidence: 99%

Etiological profile of patients presenting with lower gastrointestinal bleeding at tertiary care hospital at Belagavi: a cross sectional study

et al. 2017

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“…In this regard, a recent cadaveric study of duodenum conducted in South India showed the prevalence of 4.2% for duodenal diverticulosis [11]. Herewith, we are presenting a very rare case of Jejunal Diverticulosis with complication, noted at a tertiary care hospital in Southern India.…”

Section: Resultsmentioning

confidence: 96%

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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“…Precisely, the actual prevalence and incidence of this entity is hard to identify due to the fact that it is mostly asymptomatic. For instance, a cadaveric study showed the prevalence of DD to be around 4.2% with the majority being found in the 2nd part of the duodenum [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Surgical approach for duodenal diverticulum perforation: A case report

Kansoun

El-Helou

Amiry

et al. 2020

International Journal of Surgery Case Reports

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Highlights Duodenal diverticula is mostly found incidentally and it rarely complicates by perforation. Treatment is only indicated in complicated duodenal diverticula. Micro perforation in the absence of systemic signs are better treated with conservative management. Among surgical options diverticulectomy and single layer closure was performed. Other surgical intervention could involve segmental duodenectomy or pylorus-preserving duodeno-pancreatectomy.

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Prevalence of Duodenal Diverticulum in South Indians: A Cadaveric Study

Cited by 16 publications

References 22 publications

Etiological profile of patients presenting with lower gastrointestinal bleeding at tertiary care hospital at Belagavi: a cross sectional study

Etiological profile of patients presenting with lower gastrointestinal bleeding at tertiary care hospital at Belagavi: a cross sectional study

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

Surgical approach for duodenal diverticulum perforation: A case report

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