Small intestine diverticula: Is there anything new?

Mantas, D.; Kykalos, Stylianos; Patsouras, Dimitris; Kouraklis, Gregory

doi:10.4240/wjgs.v3.i4.49

Cited by 60 publications

(81 citation statements)

References 13 publications

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“…Cuando presenta síntomas, el espectro es muy amplio destacando dolor abdominal intermitente, dispepsia, constipación, diarrea, clínica de malabsorción y hemorragia digestiva 4,15 . La tasa de complicación es variable, descrita desde 6% hasta 53% cuando se han incluido divertículos congénitos, manifestándose como diverticulitis aguda ya sea con perforación cubierta o libre, abscesos intraabdominales, hemorragia y obstrucción intestinal 16,17 .…”

Section: Discussionunclassified

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Diverticulitis aguda de intestino delgado en un paciente con enfermedad de Crohn: Report of one case

et al. 2017

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Section: Discussionunclassified

“…La presentación hemorrágica se produce por la erosión de la arteria perforante que corre por el domo del divertículo 15,16 . La obstrucción intestinal es secundaria a la compresión extrínseca por un asa yeyunal adyacente con un divertículo inflamado de gran tamaño, por invaginación, disquinesia o por enterolitos 2 .…”

Section: Discussionunclassified

Diverticulitis aguda de intestino delgado en un paciente con enfermedad de Crohn: Report of one case

et al. 2017

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“…These unspecific symptoms seem to be typical for the disease according to comparable literature [3,4]. This can lead to a delayed diagnosis and therefore to a notably high mortality rate of up to 40% in patients with bowel perforation, especially in older patients [2,5]. Just as in colonic diverticulitis, jejunal diverticulitis is mostly focal, affecting one or a few contiguous diverticula.…”

Section: Introductionmentioning

confidence: 99%

Jejunal Diverticulitis Ascending to the Duodenum as a Rare Cause of Acute Abdomen

Vieweg¹

2014

JCDR

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A 73 year-old man was admitted to our hospital with complaints of sudden onset of abdominal pain, nausea and vomiting. The pain was localized mainly in the upper left abdomen with clinical signs of peritonitis. During the time in the emergency department, the abdominal pain markedly worsened. On examination by the attending emergency physician, he responded adequately and was fully oriented. Blood pressure was 120/70 mm Hg, pulse was 110 beats per minute, body temperature was 36.9°C, respiratory rate was 18, and oxygen saturation was 97% with 4 liter oxygen via nasal cannula. The abdomen was rigid, with distension mainly in the upper left abdomen. Normal saline and morphine sulfate were administered intravenously. Blood levels of gamma-gt (102 U/l), lactatdehydrogenase (367 U/l), bilirubin (2.2 mg/dl), direct bilirubin (0.59 mg/dl), serum glucose (259 mg/dl), lactate (2.9 mmol/l) and leukocytes (32.000) were markedly elevated. The patient's medical history revealed coronary heart disease, insulin-dependent diabetes mellitus, hypertension, Barrett oesophagus, hiatus hernia, a post appendectomy status and a history of stroke. He had a smoking history of 20 pack-years, and occasional consumption of alcohol. The use of illicit drugs was denied, and he didn´t remember unusual ingestions.A plain radiograph of the abdomen showed no evidence of free abdominal air, air-fluid levels or dilated intestinal loops.Abdominal ultrasonography revealed thickened walls of small bowel loops with cockade signs and moderate ascites.By reason of a lack of clear diagnosis and severe abdominal pain despite intravenously administered morphine, a CT-angiography of the abdomen was resolved.The scans revealed thickened walls of the small bowel over a distance of approximately 16 cm, extending from the distal second part of the duodenum to the proximal jejunum. There were moderate amounts of perihepatic and perisplenic fluid. No free intraperitoneal air was found. The mesenteric vasculature was unremarkable. Multiple fluid filled diverticula measuring up to 3 cm in the longest diameter were found alongside the jejunal walls. Additionally there was surrounding fat stranding from the distal second part of the duodenum to the proximal jejunum [Table/ Fig-1,2].The findings were indicative of an exacerbation of chronic jejunal diverticulitis with acute diverticulitis of the proximal jejunum, Radiology section ascending to the duodenum. Conservative antibiotic therapy was initiated but due to increasing pain in the night, an exploratory laparotomy was carried out on the next morning. Upon exploration 3 inflamed jejunal diverticula were detected in the area of the ligament of Treitz accompanied by moderate amounts of brownish non-foul smelling fluid and paralytic jejunal loops. The walls from the distal second part of the duodenum to the proximal jejunum appeared congested and inflamed. However, there were no signs of bowel ischemia, covered or open perforation. Four abdominal drains were inserted intraoperatively. The patient's postoperative cours...

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“…Ultrasonography is limited in resolution and specificity, and thus it is not a typical diagnostic approach in the detection of diverticula. Despite this, sonography remains the imaging method of choice in cases of acute abdomen, in which pronounced diverticular complications such as diverticulitis and the surrounding inflammatory reactions may be detected 7 . Here we report an incidental finding of simple intestinal diverticulosis without inflammation or other complications, detected during gynecological examination using 3D/four-dimensional (4D) transvaginal ultrasound.…”

Section: Visualization Of Sigmoidal Diverticulosis During Gynecologicmentioning

confidence: 99%

Visualization of sigmoidal diverticulosis during gynecological three‐dimensional ultrasound examination

Dankovcik

Vargová

Balasicova

et al. 2013

Ultrasound in Obstet & Gyne

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Small intestine diverticula: Is there anything new?

Abstract: Although small bowel diverticulosis has a low incidence, it should be in the clinician's mind in order to avoid misdiagnosis.

Cited by 60 publications

References 13 publications

Diverticulitis aguda de intestino delgado en un paciente con enfermedad de Crohn: Report of one case

Diverticulitis aguda de intestino delgado en un paciente con enfermedad de Crohn: Report of one case

Jejunal Diverticulitis Ascending to the Duodenum as a Rare Cause of Acute Abdomen

Visualization of sigmoidal diverticulosis during gynecological three‐dimensional ultrasound examination

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