Jejunal diverticulosis complicated with perforation: A rare acute abdomen etiology.

Creative Commons License

Sarıtaş A. G., Topal U., Eray İ. C., Dalcı K., Akcami A. T., Erdogan K. E.

International journal of surgery case reports, vol.63, pp.101-103, 2019 (Scopus) identifier identifier identifier


INTRODUCTION: Jejunal diverticulosis is a rare intestinal pathology with an incidence of 0.5–1%. While
most cases are asymptomatic, 30–40% of the cases may become symptomatic with chronic abdominal
pain, malabsorption, hemorrhage, diverticulitis, obstruction, abscess formation and, rarely, diverticula
perforation. It is generally localized on the mesenteric side and it develops from the entry points of the
vessels into the jejunum.
CASE PRESENTATION: Case 1 – A 36-year Case 2 a 75 old female patient patient was admitted to the
emergency department with the complaint of widespread abdominal pain, Case 1 8 diverticules, one with
diverticule perforation, was observed in the jejunum segment between the 50th and 90th centimeters
after the Treitz Ligament. Case 2 – In the diverticulum 100 cm distal from the Treitz ligament, mesenteric
perforation area of 4–5 mm were observed.
RESULTS: Segmentary small bowel resection and side-by-side anastomosis were performed in these
cases. In the histopathological examination, the Diverticula were seen to be pseudodiverticullar lesions
including herniation of the mucosa and submucosa.
CONCLUSION: Jejunoileal diverticulosis is a rare disease with life-threatening complications such as perforation,
obstruction and bleeding, it is usually asymptomatic or presents with nonspecific symptoms. It
should be considered in the differential diagnosis of acute abdomen