Jejuno-ileal diverticulitis: A disorder not to underestimate

Ramistella, Alice; Brenna, Massimo; Fasolini, Fabrizio; Monti, Marco

doi:10.1016/j.ijscr.2019.04.015

Cited by 16 publications

(37 citation statements)

References 14 publications

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“… WBC: white blood cell count; NA: not available; RUQ: right upper quadrant; RLQ: right lower quadrant; LLQ: left lower quadrant; CT: computed tomography; references: [ 4 , 5 , 7 , 8 , 10 , 16 – 21 ]. …”

Section: Figurementioning

confidence: 99%

Small Intestinal Diverticulosis: A Rare Cause of Intestinal Perforation Revisited

Ramzee

Khalaf

Ahmed

et al. 2020

Case Reports in Surgery

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Jejunoileal diverticulosis (JID) is a rare and nonspecific symptomatic disease. It is usually an acquired condition associated with false diverticula and integrated with colonic diverticulosis which can be diagnosed incidentally or later with complications. A sixty-nine-year-old male presented with sudden onset generalized abdominal pain. Computed tomography (CT) imaging was suggestive of ileal diverticulitis with localized perforation. The patient was treated conservatively with IV fluids and antibiotics and kept nil per orem for three days and discharged after symptoms subsided. The patient returned with a similar presentation but with a greater intensity. CT with oral contrast revealed evidence of distal ileal perforation. The terminal ileum was resected, and a double barrel ileostomy was created. Six months later, the stoma was reversed after resecting 50 cm of proximal terminal ileum which included all diverticula. The patient had a smooth postoperative recovery. Small bowel diverticulitis is generally managed conservatively unless the patient’s clinical condition mandates urgent exploration. This report may add knowledge and lead to a change in clinical practice.

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Section: Figurementioning

confidence: 99%

Small Intestinal Diverticulosis: A Rare Cause of Intestinal Perforation Revisited

Ramzee

Khalaf

Ahmed

et al. 2020

Case Reports in Surgery

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Section: Introductionmentioning

confidence: 99%

“…Sommering was the first to report acquired jejuno-ileal diverticula in 1794 and later the disease was described by Cooper in 1807 [1,2]. Jejunal diverticula occur in less than 1% of the population [1][2][3][4][5][6][7][8][9][10][11][12]. The prevalence is higher in patients between 60 and 70 years and slightly more common in men [1,2,[6][7][8][9][10][11]13].…”

Section: Introductionmentioning

confidence: 99%

“…Jejunal diverticula occur in less than 1% of the population [1][2][3][4][5][6][7][8][9][10][11][12]. The prevalence is higher in patients between 60 and 70 years and slightly more common in men [1,2,[6][7][8][9][10][11]13]. They are false diverticula located predominantly on the mesenteric side of the bowel [1,[4][5][6][7][8]13].…”

Section: Introductionmentioning

confidence: 99%

“…The prevalence is higher in patients between 60 and 70 years and slightly more common in men [1,2,[6][7][8][9][10][11]13]. They are false diverticula located predominantly on the mesenteric side of the bowel [1,[4][5][6][7][8]13]. About 10% of patients diagnosed with jejunal diverticula will develop complications such as diverticulitis, obstruction, perforation, or hemorrhage [1-3, 6, 14].…”

Section: Introductionmentioning

confidence: 99%

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Acute Abdomen – Rare Cause, Accurate Diagnosis, Simple Solution

Monteiro¹,

Soares²

2020

SCR

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Jejunal diverticulitis is a rare disease with higher prevalence among patients between 60 and 70 years and slightly more common in men. They are false diverticula located predominantly on the mesenteric side of the bowel but 10% develop complications which result in major surgery and high overall mortality. Authors report a case of a 63-year-old patient who presented to our department with small bowel perforation. Patient was taken to the operating room where he underwent exploratory laparotomy; intra-operatively a perforated jejunal diverticula with thickened adjacent mesentery and fibrinous debris was found. The surgical option was segmental enterectomy of 20cm, 15cm apart from the angle of Treitz. Perforation of jejunal diverticula should be considered in the differential diagnosis in elderly male patients presenting with an acute abdomen at the emergency department. The diagnosis is challenging and bowel resection with primary anastomosis is the treatment of choice. Although the disease is extremely rare it is important to be aware of the mortality rates associated with delay in the diagnosis and intervention.

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