Iranian Journal of Medical Sciences
Iranian Journal of Medical Sciences

Complicated Jejunal Diverticulosis: Small Bowel Volvulus with Obstruction

Document Type : Case Report(s)

Authors

Rommel Singh Mohi 1
Ashish Moudgil 1
Suresh Kumar Bhatia 1
Kaushal Seth 1
Tajinder Kaur 2

1 Department of Surgery, Govt. Medical College and Rajindra Hospital Patiala, Punjab, India

2 Intern Govt. Medical College and Rajindra Hospital Patiala, Punjab, India

Abstract
he incidence of the diverticulum of the small bowel varies from 0.2-1.3% in autopsy studies to 2.3% when assessed on enteroclysis. It occurs mostly in patients in the 6th decade of their life. Of all the small bowel diverticuli, jejunal diverticulum is the most common type. This rare entity is usually asymptomatic. However, they may cause chronic non-specific symptoms for a long period of time like dyspepsia, chronic postprandial pain, nausea, vomiting, borborgymi, alternating diarrhoea and constipation, weight loss, anaemia, steatorrhea or rarely lead to complications like haemorrhage, obstruction, perforation. Obstruction can be due to enterolith, adhesions, intussusception, and volvulus. The condition is difficult to diagnose because patients are generally presented with symptoms that mimic other diseases. It is important for clinicians to have awareness of this entity. Here, we present a case of multiple jejunal diverticuli with a history of repeated attacks of diverticulitis over past 20 years, which were misdiagnosed and now presented with intestinal obstruction due to volvulus of the involved segment along with mesentery around its axis. Resection of the diverticuli segment of jejunum was done with end-to-end jejuno-jejunal anastomosis. The patient is asymptomatic since 10 months of follow-up.

Keywords

Diverticulitis
Small intestinal diverticulosis
Intestinal obstruction
Intestinal volvulus
Laparotomy
Iranian Journal of Medical Sciences
Volume 41, Issue 6 - Serial Number 6
81
November 2016
Pages 548-551

  • Received 28 December 2014
  • Revised 22 August 2020
  • Accepted 24 December 2018

Home

Guide for Authors

Submit Manuscript

Guide for Reviewers

Forms

News

Contact Us

FAQ

Suggestion and Complain