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Small bowel diverticulosis. A forgotten diagnosis
Acta Chirurgica Belgica
|November 1, 1995
Summary
Small bowel diverticulosis (SBD), rare pseudodiverticula, often present with abdominal discomfort or acute surgical emergencies. Diagnosis requires meticulous radiography, with resection being the primary treatment for complications.
Area of Science:
- Gastroenterology
- Surgical Gastroenterology
Background:
- Small bowel diverticulosis (SBD) is the least common form of diverticulosis in the alimentary tract.
- Incidence rates vary significantly, ranging from 0.09% to 2.3%.
Observation:
- SBD are characterized as pseudodiverticula, composed solely of mucosa.
- The leading theory for their cause is 'locus minoris resistentiae,' involving mucosal herniation through bowel wall defects due to peristaltic pressure.
Findings:
- Diagnosis of SBD is challenging and typically requires meticulous radiographic techniques; preoperative diagnosis is rare.
- SBD can manifest as chronic abdominal discomfort or lead to acute, emergent complications requiring surgical intervention.
Implications:
- Prompt diagnosis and surgical resection are crucial for managing acute SBD complications.
- Understanding the pathophysiology and diagnostic challenges of SBD is vital for effective patient management.