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Midgut volvulus due to jejunal diverticula: a case report
1Department of Gastroenterology, Changzheng Hospital, Shanghai 200003, China. shalley1@hotmail.com
World Journal of Gastroenterology
|November 17, 2012
Summary
Jejunal diverticulosis, though rare, can cause life-threatening small bowel obstruction via midgut volvulus. This case highlights the importance of considering jejunal diverticulosis in the differential diagnosis of bowel obstruction.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Jejunal diverticulosis is an uncommon condition, often asymptomatic but capable of causing severe complications.
- Management strategies for jejunal diverticulosis lack consensus, particularly regarding surgical intervention for complications like obstruction, hemorrhage, and perforation.
Observation:
- A 57-year-old woman presented with a 5-year history of intermittent upper abdominal pain, culminating in complete small bowel obstruction.
- Computed tomography revealed a characteristic mesenteric vessel "whirlpool" sign, indicative of volvulus.
Findings:
- Laparotomy confirmed midgut volvulus as the cause of obstruction, directly secondary to jejunal diverticula.
- This case illustrates a rare mechanism of small bowel obstruction attributed to jejunal diverticulosis.
Implications:
- Jejunal diverticulosis should be considered in the differential diagnosis for patients presenting with small bowel obstruction.
- Early recognition and surgical intervention may be crucial for potentially life-threatening complications arising from jejunal diverticulosis-induced volvulus.
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