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Volvulus complicating jejunal diverticulosis: A case report.
P O Igwe1, E Ray-Offor1, A B Allison1
1Department of Surgery, University of Port Harcourt Teaching Hospital, Alakahia, Rivers State, Nigeria.
International Journal of Surgery Case Reports
|March 3, 2015
Summary
Jejunal diverticular disease, though rare in Africa, can cause acute abdominal emergencies like small bowel obstruction. This case highlights volvulus as a complication of jejunal diverticula.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Diverticular disease is uncommon in African populations, with colonic diverticulosis being the most reported form.
- While diverticula can affect the entire gastrointestinal tract, jejunal diverticula are rare and often asymptomatic.
- However, jejunal diverticula can present as a severe acute abdomen.
Purpose of the Study:
- To report a rare case of jejunal diverticular disease presenting as small bowel obstruction.
- To discuss the potential complications and clinical implications of jejunal diverticula.
Main Methods:
- A case presentation of a 68-year-old female with symptoms of intestinal obstruction.
- Diagnostic workup included clinical assessment and emergency exploratory laparotomy.
- Surgical intervention involved resection of the affected jejunal segment and anastomosis.
Main Results:
- The patient presented with symptoms consistent with small bowel obstruction.
- Exploratory laparotomy revealed jejunal volvulus and multiple jejunal diverticula.
- Successful surgical resection and anastomosis were performed, with an uneventful recovery.
Conclusions:
- Jejunal diverticular disease is an infrequent but significant cause of intestinal obstruction in Africa.
- Volvulus secondary to jejunal diverticula is a rare but critical complication.
- This case underscores that intestinal obstruction is not exclusively colonic in origin and can arise from jejunal diverticular disease.
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