Complicated Jejunal Diverticulosis: Small Bowel Volvulus with Obstruction
Rommel Singh Mohi1, Ashish Moudgil1, Suresh Kumar Bhatia1
1Department of Surgery, Govt. Medical College and Rajindra Hospital Patiala, Punjab, India.
Iranian Journal of Medical Sciences
|November 18, 2016
Summary
Multiple jejunal diverticuli, a rare condition, often present with vague symptoms and can lead to serious complications like intestinal obstruction. Early diagnosis and awareness are crucial for effective management of small bowel diverticulosis.
Area of Science:
- Gastroenterology
- Surgical Gastroenterology
- Abdominal Imaging
Background:
- Small bowel diverticula, particularly jejunal diverticula, are uncommon findings, with incidence rates varying by diagnostic method.
- While often asymptomatic, these diverticula can manifest with chronic, non-specific gastrointestinal symptoms or severe complications.
Observation:
- A case is presented of a patient with a 20-year history of misdiagnosed diverticulitis due to multiple jejunal diverticuli.
- The patient presented with intestinal obstruction, a rare complication, caused by volvulus of the affected jejunal segment and mesentery.
Findings:
- Surgical resection of the affected jejunal segment with end-to-end anastomosis was performed.
- The patient remained asymptomatic during a 10-month follow-up period post-surgery.
Implications:
- Highlights the diagnostic challenges and potential for severe complications in patients with jejunal diverticulosis.
- Emphasizes the importance of clinical awareness for timely diagnosis and appropriate management of small bowel diverticula to prevent complications like obstruction.
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