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Jejunal Diverticulosis: An Atypical Lead Point for Small Bowel Volvulus.
Divij Agarwal1, Iqbal Ali1, Varun Shetty1
1General Surgery, Dr. D.Y. Patil Medical College, Hospital and Research Centre, Pune, IND.
Cureus
|April 15, 2024
Summary
Small intestinal diverticula, particularly jejunoileal, are rare. This case highlights a patient with jejunal diverticula and small bowel obstruction due to malrotation, successfully treated surgically.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Small intestinal diverticula are uncommon, with duodenal diverticula being more prevalent than jejunoileal diverticula.
- Jejunoileal diverticula prevalence varies, reported between 0.5%–7% in radiographic and autopsy studies.
Observation:
- A 65-year-old male presented with abdominal pain, vomiting, and obstipation.
- Emergency exploratory laparotomy revealed multiple jejunal diverticuli and a 360° counterclockwise rotation of the terminal ileum.
Findings:
- The patient underwent adhesiolysis and small bowel decompression.
- Successful surgical correction of the malrotation and diverticula resulted in an uneventful recovery.
Implications:
- This case underscores the importance of considering rare small intestinal pathologies in patients with obstructive symptoms.
- Prompt surgical intervention is crucial for managing complications arising from jejunal diverticula and intestinal malrotation.
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