A Case of Isolated Jejunal Diverticulum Presented as Free Perforation: A Rare Cause of Acute Abdomen

Anjum, Rohik; Kumar, Navin; Singla, Tanuj; Mani, Rishit; Karki, Bibek

doi:10.7759/cureus.18809

Cited by 1 publication

(1 citation statement)

References 9 publications

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“…A comprehensive patient history must be obtained to rule out other conditions such as appendicitis, cholecystitis, colonic diverticulitis, pancreatitis, bowel obstruction, or foreign body perforation [3,4,[8][9][10][11][12][13][14][15][16][17][18][19][20]24,34]. An abdominal X-ray can help detect perforation or obstruction but cannot establish a diagnosis on its own.…”

Section: Discussionmentioning

confidence: 99%

Small Bowel Diverticulosis and COVID-19: Awareness Is the Key: A Case Series and Review of the Literature

Bangeas,

Konstantinidis,

Chrisopoulou

et al. 2024

Medicina

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Small bowel non-Meckelian diverticulosis is a rare condition with only a few published cases despite being described over 200 years ago. In the midst of the COVID-19 pandemic, studies suggested that many patients may experience gastrointestinal manifestations. Intestinal symptoms could worsen the inflammation and infection associated with small bowel diverticulitis. Here we present three cases: one with inflammation and rupture in a COVID-19 patient and another as an asymptomatic detection. The third case involved recurrence after the first laparoscopic lavage approach. Furthermore, we provide a mini-review of the literature to emphasize the importance of considering this entity in the differential diagnosis of an acute abdomen. In the majority of cases involving small bowel diverticula, conservative management is the preferred approach. However, when complications arise, surgical intervention, including enteroctomy and primary anastomosis, may be necessary to achieve optimal outcomes.

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