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Complicated Jejunal Diverticulosis: Small Bowel Volvulus with Obstruction

The 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 6(th) decade of their life. Of all the small bowel diverticuli, jejunal diverticulum is the most common type. This rare entity is us...

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Autores principales: Mohi, Rommel Singh, Moudgil, Ashish, Bhatia, Suresh Kumar, Seth, Kaushal, Kaur, Tajinder
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Iranian Journal of Medical Sciences 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5106572/
https://www.ncbi.nlm.nih.gov/pubmed/27853337
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author Mohi, Rommel Singh
Moudgil, Ashish
Bhatia, Suresh Kumar
Seth, Kaushal
Kaur, Tajinder
author_facet Mohi, Rommel Singh
Moudgil, Ashish
Bhatia, Suresh Kumar
Seth, Kaushal
Kaur, Tajinder
author_sort Mohi, Rommel Singh
collection PubMed
description The 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 6(th) 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.
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spelling pubmed-51065722016-11-16 Complicated Jejunal Diverticulosis: Small Bowel Volvulus with Obstruction Mohi, Rommel Singh Moudgil, Ashish Bhatia, Suresh Kumar Seth, Kaushal Kaur, Tajinder Iran J Med Sci Case Report The 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 6(th) 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. Iranian Journal of Medical Sciences 2016-11 /pmc/articles/PMC5106572/ /pubmed/27853337 Text en Copyright: © Iranian Journal of Medical Sciences http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Mohi, Rommel Singh
Moudgil, Ashish
Bhatia, Suresh Kumar
Seth, Kaushal
Kaur, Tajinder
Complicated Jejunal Diverticulosis: Small Bowel Volvulus with Obstruction
title Complicated Jejunal Diverticulosis: Small Bowel Volvulus with Obstruction
title_full Complicated Jejunal Diverticulosis: Small Bowel Volvulus with Obstruction
title_fullStr Complicated Jejunal Diverticulosis: Small Bowel Volvulus with Obstruction
title_full_unstemmed Complicated Jejunal Diverticulosis: Small Bowel Volvulus with Obstruction
title_short Complicated Jejunal Diverticulosis: Small Bowel Volvulus with Obstruction
title_sort complicated jejunal diverticulosis: small bowel volvulus with obstruction
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5106572/
https://www.ncbi.nlm.nih.gov/pubmed/27853337
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