Jejunal Epiphany: Diverticulae, Enteroliths and Strictures.

Area of Science:

• Gastroenterology and Surgical Case Reports
• Digestive System Disorders
• Abdominal Surgery

Background:

• Multiple jejunal diverticulae are uncommon and often asymptomatic.
• Enteroliths and jejunal strictures are distinct pathological findings.
• The simultaneous occurrence of these three conditions in a short jejunal segment is exceptionally rare.

Observation:

• A 45-year-old male presented with chronic vague abdominal pain, nausea, vomiting, and altered bowel habits.
• Laparotomy revealed multiple large jejunal diverticulae, multiple enteroliths, and two jejunal strictures within a confined segment.
• These findings collectively caused significant intestinal obstruction.

Findings:

• The case highlights a rare confluence of jejunal diverticulae, enteroliths, and strictures.
• Surgical intervention was necessary due to the resulting intestinal obstruction.
• The patient successfully underwent resection and anastomosis with an uneventful recovery.

Implications:

• This case underscores the importance of considering multiple pathologies in rare presentations.
• It contributes to the literature on complex small bowel obstructions.
• Highlights the surgical management of rare combined jejunal pathologies.