Iron deficiency anemia caused by a giant jejunal diverticulum

Shimayama, Toshio; Ono, Jiroichi; Katsuki, Taketo

doi:10.1007/bf02469807

Cited by 4 publications

(3 citation statements)

References 6 publications

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“…Diverticula may measure from few millimeters up to more than 3 cm. Performing a web search of the relative literature for giant jejunal diverticula and using terms such as 'giant jejunal divericula', 'giant jejunal diverticulosis' and 'giant jejunoileal diverticulosis', we found a limited number of cases defined from the author's description as giant; one case associated with Ehlers-Danlos Syndrome and malabsorption [ 8 ], one associated with iron deficiency [ 23 ], two cases with diverticultis [ 24 , 25 ], one presented with intestinal obstruction [ 26 ] and one manifested with intestinal bleeding [title only] [ 27 ]. The problem in our research was the fact that in many case reports as well as in larger series, there was no objective measurement of the size of the diverticulum (intraoperative or pathological).…”

Section: Discussionmentioning

confidence: 99%

“…Vague and chronic, mainly post prandial, epigastric cramping pain, bloating or abdominal fullness is usually referred. Anemia due to iron deficiency and megaloblastic anemia have often been reported and commonly attributed to malabsorpion, steatorreia, and vitaminic deficit [ 23 , 33 ]. Malabsorpion could be justified by the non syncronous peristaltic movement of the bowel, the dilation of the diverticula, the stasis of the intestinal content and the bacterial overgrowth [ 1 , 34 - 36 ].…”

Section: Discussionmentioning

confidence: 99%

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Multiple giant diverticula of the jejunum causing intestinal obstruction: report of a case and review of the literature

et al. 2011

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Multiple diverticulosis of jejunum represents an uncommon pathology of the small bowel. The disease is usually asymptomatic and must be taken into consideration in cases of unexplained malabsorption, anemia, chronic abdominal pain or discomfort. Related complications such as diverticulitis, perforation, bleeding or intestinal obstruction appear in 10-30% of the patients increasing morbidity and mortality rates. We herein report a case of a 55 year-old man presented at the emergency department with acute abdominal pain, vomiting and fever. Preoperative radiological examination followed by laparotomy revealed multiple giant jejunal diverticula causing intestinal obstruction. We also review the literature for this uncommon disease.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Multiple giant diverticula of the jejunum causing intestinal obstruction: report of a case and review of the literature

et al. 2011

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“…Main symptoms that have been reported, in uncomplicated cases, are vague recurrent abdominal pain, flatulence, abdominal discomfort and similar others unsubstantial troubles, mainly postprandial [3,33]. Symptoms of anemia (iron or B12 deficiency) may also appear [4,34]. The stasis of the intestinal content and the bacterial overgrowth has been implicated for the above symptoms appearance [35,36].…”

Section: Discussionmentioning

confidence: 99%

Jejunal Diverticulosis Is a Rather Difficult Diagnosis: Report of a Case and Review of the Literature

Delimpaltadakis¹

2019

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Jejunal diverticulosis is most commonly an incidental intraoperative finding, while rarely can be a clinical diagnosis as demonstrated in our case and on published articles in the literature. Besides the rarity of the disease, a second factor that incommodes the preoperative diagnosis is the vague symptomatology. The case of a 72-year-old male patient is described, who was complaining for mild intensity abdominal pain, with no other specific symptoms. A leucocytosis of 12.500/mm 3 was revealed, with all other laboratory tests being within normal limits. CT scan showed bubbles of free air in abdominal cavity and the decision for surgical exploration was taken. In the operating room multiple large diverticula were found along the jejunum without obvious perforation. A resection of 105 cm of jejunum was performed. Patient's postoperative recovery was uneventful and two years later he does not complain of any abdominal symptoms. Postoperatively an expert radiologist was asked to read and explain the preoperative CT scan. Radiologist's diagnosis was that the patient had either multiple jejunal diverticula or trapped free air in peritoneal cavity. Consequently, the preoperative diagnosis is feasible with a prompt cooperation between surgeon and radiologist and a better interpretation of CT scan findings from the radiologist.

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Case 25-1990

Goyal¹,

Compton²

1990

N Engl J Med

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Iron deficiency anemia caused by a giant jejunal diverticulum

Abstract: We treated a patient with a jejunal diverticulum with a rare complication of iron deficiency anemia. The anemia was improved following resection of the diverticulum. It was revealed that the iron deficiency anemia was due to the malabsorption caused by the jejunal diverticulum.

Cited by 4 publications

References 6 publications

Multiple giant diverticula of the jejunum causing intestinal obstruction: report of a case and review of the literature

Multiple giant diverticula of the jejunum causing intestinal obstruction: report of a case and review of the literature

Jejunal Diverticulosis Is a Rather Difficult Diagnosis: Report of a Case and Review of the Literature

Case 25-1990

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