Multiple diverticulosis of the jejunum is an uncommon pathology of the small bowel. The incidence of diverticulum of small intestine varies from 0.3 to 1.2%, out of which duodenal diverticula are common that jejunal. This rare jejunal diverticula is usually asymptomatic in course, which made it more difficult in establishing this diagnosis. This may rarely lead to complications such as perforation, haemorrhage, obstruction which may be due to adhesions, volvulus, and intussusception. We herein report a case of a 72-year-old female patient with no comorbidities presented to ER with complaints of abdominal distention, lower abdominal pain, vomiting for 3 days. Pre-op evaluation revealed midgut volvulus with intestinal obstruction. Explorative Laparotomy revealed multiple diverticula in jejunum. Midgut volvulus was operated by resection and anastomosis of small bowel.

When a spleen weighs more than 1,600 grams or has a craniocaudal length larger than 21 cm, it is categorized as a supramassive spleen. Laparoscopic splenectomy for normal to moderately enlarged spleens has become the gold standard in elective splenectomy surgery. Its utility in large splenomegaly has not yet completely established, but has great advantage over open surgery. Here, we present a case of 17-year-old young male with a history of congenital heart disease who underwent a Rastelli open heart surgery in 2010 and pulmonary balloon valvulotomy in 2022 came with supramassive splenomegaly, hypersplenism and pancytopenia that was treated with laparoscopic splenectomy. Vaccinations were done two weeks prior to the surgery. Preoperative embolization of the splenic artery was performed 24 hours before splenectomy to reduce complications. The excised spleen measured about 24×15 cm.