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Complicated jejunal diverticulosis: report of a case
C M Fronticelli1, P Bellora, A Ferrero
1Sixth Division of General Surgery, University of Turin, Molinette Hospital, Italy.
Abstract:
The authors report a case of complicated multiple jejunal diverticulosis and review the data from the literature on this pathology. A 74-year-old man was admitted to our unit presenting with symptoms of intestinal obstruction. He had previously experienced three episodes of the same symptomatology with melena. Endoscopy excluded gastroduodenal or colonic bleeding; an X-ray of the small bowel detected multiple large jejunal diverticula. The patient underwent surgery: a jejunal resection was performed just below the Treitz angle extending about 60-70 cm. The postoperative course was uneventful and the patient was discharged on the 8th postoperative day. At present, the patient is doing well and has not since demonstrated any symptoms of either intestinal obstruction or melena.
Insights
Multiple jejunal diverticulosis can cause intestinal obstruction and melena. Surgical resection of affected jejunal segments offers a successful treatment for complicated cases, as demonstrated in this patient.
Area of Science:
- Gastroenterology
- Surgical Gastroenterology
Background:
- Jejunal diverticulosis is a rare condition characterized by the presence of outpouchings in the jejunum.
- Complications include obstruction, bleeding (melena), and perforation, necessitating surgical intervention.
Observation:
- A 74-year-old male presented with intestinal obstruction and a history of melena.
- Small bowel X-ray revealed multiple large jejunal diverticula.
- Endoscopy ruled out upper gastrointestinal and colonic sources of bleeding.
Findings:
- The patient underwent a 60-70 cm jejunal resection below the Treitz angle.
- Postoperative recovery was uneventful.
Implications:
- Surgical resection is an effective treatment for complicated jejunal diverticulosis.
- Prompt surgical management can resolve symptoms of obstruction and bleeding, improving patient outcomes.