Jejunal diverticular disease: a report of three cases

Abstract

Jejunal diverticula (JD) are a rare medical entity. They are often unnoticed, until complications occur. We report herein three cases of such diverticula, analyzed retrospectively, and depicting some of these complications: small bowel obstruction due to enterolith in a giant diverticulum treated surgically, incidental intraoperative finding on an anastomotic jejunal limb affecting the surgical plan and diverticulitis with anemia. In all three cases, the diagnosis of JD was unexpected, which illustrates the importance of being familiar with this disease for adequate management.

Perforated jejunal diverticulum as an unsual cause of acute abdomen: A case report

“…They are commonly found on the mesenteric border where blood vessels pierce the muscularis layer [4] . Consequently, these diverticula might be difficult to identify when hidden in the mesenteric fat and they have a high risk of bleeding because they enter the bowel's blood supply site [5] .…”

Divertículo Jejunal Perfurado - Três Estudos De Casos

“…The jejunal diverticula are rare, with an incidence ranging from 0.3% to 2.3%, and are very less frequent than the duodenal diverticula (20% vs 70%) [1][2][3][4][5][6][7][8][9][10] . They affect mainly the elderly in the 6 th -8 th decades of life [1][2][3][4][5][6][7][8][9][10] . Up to 70% may be asymptomatic, and acute diverticulitis is the most usual presentation (2.6% to 4.6%) [1][2][3][4][5][6][7][8][9][10] .…”

“…They affect mainly the elderly in the 6 th -8 th decades of life [1][2][3][4][5][6][7][8][9][10] . Up to 70% may be asymptomatic, and acute diverticulitis is the most usual presentation (2.6% to 4.6%) [1][2][3][4][5][6][7][8][9][10] . The diagnosis is usually difficult and timeconsuming because of the nonspecific symptoms, while computed tomography (CT) is an important tool in elucidating the diagnosis [1][2][3][4][5][6][7][8][9][10] .…”

“…Up to 70% may be asymptomatic, and acute diverticulitis is the most usual presentation (2.6% to 4.6%) [1][2][3][4][5][6][7][8][9][10] . The diagnosis is usually difficult and timeconsuming because of the nonspecific symptoms, while computed tomography (CT) is an important tool in elucidating the diagnosis [1][2][3][4][5][6][7][8][9][10] . Complications occur in 6% to 30%, including acute diverticulitis, anemia, obstruction, fistula, abscess, adhesions, enteroliths, bleeding, and perforation with peritonitis [1][2][3][4][5][6][7][8][9][10] .…”

“…The diagnosis is usually difficult and timeconsuming because of the nonspecific symptoms, while computed tomography (CT) is an important tool in elucidating the diagnosis [1][2][3][4][5][6][7][8][9][10] . Complications occur in 6% to 30%, including acute diverticulitis, anemia, obstruction, fistula, abscess, adhesions, enteroliths, bleeding, and perforation with peritonitis [1][2][3][4][5][6][7][8][9][10] . The objective is to describe three cases of perforated jejunal diverticulitis, emphasizing this entity as a differential diagnosis in the elderly with symptoms of acute abdomen.…”