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Uncomplicated jejunal diverticulosis with pneumoperitoneum
Jae Young Kwak1, Eun Hwa Park1, Cheon Soo Park1
1Department of Surgery, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea.
Annals of Surgical Treatment and Research
|June 9, 2016
Summary
Jejunal diverticulosis, a rare condition, can be difficult to diagnose and may present with serious complications like small bowel torsion. This case highlights the importance of considering jejunal diverticulosis in diagnosis.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Small bowel diverticulosis is uncommon, with jejunal diverticulosis being exceptionally rare.
- The varied and subtle presentation of jejunal diverticulosis often leads to diagnostic delays.
Observation:
- A 55-year-old female presented with pneumoperitoneum, initially diagnosed via abdominal imaging.
- Intraoperative findings revealed extensive jejunal diverticulosis (over 30 diverticula) and small bowel torsion affecting a 180 cm segment.
- No perforation was identified during surgical exploration.
Findings:
- Jejunal diverticulosis was confirmed intraoperatively in a patient presenting with pneumoperitoneum.
- The condition was associated with small bowel torsion, necessitating surgical intervention.
- The patient recovered fully without postoperative complications.
Implications:
- Jejunal diverticulosis, despite its rarity, requires clinical consideration due to potential severe complications.
- Intraoperative diagnosis is crucial when clinical suspicion is low or presentation is atypical.
- Prompt surgical management can lead to favorable outcomes in complicated jejunal diverticulosis.
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