[Jeiuno-ileal diverticula complicated by perforation. Clinical case]
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Updated: Sep 26, 2026

Murine Ileocolic Bowel Resection with Primary Anastomosis
Published on: October 29, 2014
1UOA di Chirurgia Generale, ASL 16 Regione Piemonte, Ospedale di Ceva (Cuneo), Italy.
Abstract:
The diverticular disease is rarely located in the small intestine (0.1-1.4%). The most important feature is due to the lack of a typical symptomatology which may appear only on the occasion of the complications it may incur (perforation, haemorrhage and so on). It isn't also infrequent that the surgeon may observe intestinal diverticula accidentally, on the occasion of laparotomies carried out in emergency or for other pathologies. The literature on intestinal diverticula is reviewed and personal experience in a clinical case presenting as acute abdomen is described.
Insights
Small intestine diverticular disease is rare and often asymptomatic, presenting with complications like perforation or hemorrhage. This review covers intestinal diverticula, including a case of acute abdomen.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Diverticular disease typically affects the colon, with small intestinal involvement being exceptionally rare (0.1-1.4%).
- The clinical presentation of small intestinal diverticula is often non-specific, leading to delayed diagnosis.
Observation:
- Small intestinal diverticula frequently lack characteristic symptoms, with manifestations arising primarily from complications.
- Incidental discovery during emergency laparotomies for other conditions is common in surgical practice.
Findings:
- Complications such as perforation and hemorrhage are the primary indicators of small intestinal diverticular disease.
- A review of existing literature and a case study of acute abdomen are presented.
Implications:
- Highlights the diagnostic challenges posed by rare small intestinal diverticula.
- Emphasizes the importance of considering diverticular disease in the differential diagnosis of acute abdominal conditions.
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