A rare case of perforated jejunal diverticula of an uncommon origin

Jawed, Aleeza; Jawed, Areesha; Kumari, Sandhya; Shaikh, Omer Ahmed; Nashwan, Abdulqadir J.

doi:10.1002/ccr3.7206

Cited by 4 publications

(2 citation statements)

References 7 publications

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“…Jejunal diverticula are usually asymptomatic until complications arise as in our case report. Several complications have been reported in the literature including strangulation [4], volvulus [5], perforation [6], diverticulitis, and small bowel obstruction. Overall, complications have been reported in around 10% of patients with jejunal diverticula [3].…”

Section: Discussionmentioning

confidence: 99%

Jejunal Diverticulosis Presenting With Small Bowel Obstruction: A Diagnostic Challenge

Gismondi,

Ali,

Ajao

et al. 2024

Cureus

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We report the case of a woman presenting with small bowel obstruction secondary to an enterolith that formed within a jejunal diverticulum. Prior to this acute presentation, the patient had experienced regular abdominal pain albeit not as severe as the current episode. The CT scan on admission required review by two consultant radiologists before the cause of the small bowel obstruction was diagnosed. Successful surgical management was performed involving a laparotomy, small bowel enterotomy, and removal of the enterolith. Although complications secondary to jejunal diverticula are documented, there is minimal literature on the complexities of making the diagnosis and the best management approach that should be adopted.

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Section: Discussionmentioning

confidence: 99%

Jejunal Diverticulosis Presenting With Small Bowel Obstruction: A Diagnostic Challenge

Gismondi,

Ali,

Ajao

et al. 2024

Cureus

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“…Amongst small bowel diverticula, those of duodenal origin supersede jejunoileal diverticula by a vast margin of up to five times [1]. The occurrence of jejunoileal diverticula exhibits considerable variability and has been documented to range from 0.5% to 2.3% in radiographic series, while autopsy studies have reported rates as high as 7% [2,3]. The etiology of these diverticula is known to be multifactorial, encompassing a wide range of contributing factors [3].…”

Section: Introductionmentioning

confidence: 99%

Jejunal Diverticulosis: An Atypical Lead Point for Small Bowel Volvulus

Agarwal,

Ali,

Shetty

2024

Cureus

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The occurrence of small intestinal diverticula is relatively infrequent compared to its counterpart in the large bowel. Duodenal diverticula exhibit a significantly higher prevalence within the small intestine compared to jejunoileal diverticula, with a ratio of five to one. The occurrence of jejunoileal diverticula exhibits considerable variability and has been documented to range from 0.5% to 2.3% in radiographic series, while autopsy studies have reported rates as high as 7%.We present the clinical details of a 65-year-old male patient who sought medical attention due to a constellation of symptoms, including abdominal pain, vomiting, and obstipation. After adequate resuscitation with IV fluids and preoperative preparation, the patient was transported to the operating room for an emergency exploratory laparotomy. Multiple jejunal diverticuli were identified in the proximal jejunum at the antimesenteric border, less than three feet from the duodenojejunal (DJ) junction.The terminal ileum was found to be 360° rotated counterclockwise around the small bowel mesentery, causing the small intestine to appear congested; however, after clockwise de-rotation, the small bowel regained its normal color. Adhesiolysis and small bowel decompression were performed, and the patient had an uneventful recovery.

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