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Perforated jejunal ulcer associated with gastric mucosa in a jejunal diverticulum

John Bunni1, Helen L Barrett1, Tim A Cook1

  • 1John Bunni, Tim A Cook, Department of Surgery, Gloucestershire Royal Hospital, Gloucester GL1 3NN, United Kingdom.

World Journal of Clinical Cases
|June 20, 2014
PubMed

Insights

Jejunal diverticula are rare, with complications even rarer. This case highlights a young girl

Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Jejunal diverticula are uncommon congenital or acquired outpouchings of the small intestine.
  • Meckel's diverticula, located in the terminal ileum, are the most frequent small bowel diverticula encountered in general surgery.
  • These diverticula can occasionally harbor heterotopic gastric or pancreatic mucosa, leading to potential complications.

Observation:

  • A case presentation of a young female experiencing peritonitis due to a jejunal diverticulum complication.
  • The patient exhibited symptoms indicative of an acute abdominal catastrophe.

Findings:

  • The jejunal diverticulum was identified as the source of peritonitis.
  • Pathological examination confirmed the presence of a jejunal diverticulum with associated inflammation.

Implications:

  • This case underscores the importance of considering jejunal diverticula in the differential diagnosis of acute abdominal conditions, especially in younger patients.
  • Understanding the pathology and potential complications of jejunal diverticulosis is crucial for timely diagnosis and effective surgical management.
  • The presence of heterotopic mucosa warrants further investigation into its role in disease pathogenesis.
Keywords:
Heterotopic gastric mucosaJejunumMeckel’s gastrointestinal diverticulumPerforation

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