One of the Rare Causes of Acute Abdomen Leading to Subileus: Jejunal Diverticulitis

Abstract

Background: Jejunal diverticulitis is one of the rare causes of acute abdomen generally seen in the elderly. Jejunal diverticulosis was defined as the herniation of the mucosa and the submucosa from the inside of the muscular layer of the bowel wall on the mesenteric side of the intestine. Case Report: We presented the intraoperative and pathological findings of a 69-year-old male patient who had presented with complaints about abdominal pain, nausea, and vomiting and been operated upon due to subileus and peritonitis induced by large-sized jejunal diverticulitis, along with his computed tomography (CT) findings. Conclusion: Jejunal diverticulitis is uncommon and may be a disease which might be difficult to diagnose when it develops on the basis of the large-sized diverticula resembling intestinal ansae. To the best of our knowledge, the computed tomography and intraoperative findings of a case in which partial resection is applied to the jejunum due to subileus have not been previously presented in the literature.

Keywords

• CT, ileus, jejunal diverticulitis

References

1. 1. Singal R, Gupta S, Airon A. Giant and multiple jejunal diverticula presenting as peritonitis a significant challenging disorder. J Med Life 2012;5:308-10.
2. 2. Woubet TK, Josef F, Jens H, Bartels M, Hauss J. Complicated small-bowel diverticulosis: A case report and review of the literature. World J Gastroenterol 2007;13:2240-2. [CrossRef]
3. 3. Makris K, Tsiotos GG, Stafyla V, Sakorafas GH. Small intestinal nonmeckelian diverticulosis: clinical review. J Clin Gastroenterol 2009;43:201-7. [CrossRef]
4. 4. Alam S, Rana A, Pervez R. Jejunal diverticulitis: imaging to management. Ann Saudi Med 2014;34:87-90.
5. 5. Ross CB, Richards WO, Sharp KW, Bertram PD, Schaper PW. Diverticular disease of the jejunum and its complications. Am Surg 1990;56:319-24.
6. 6. Wojciech S, Michel C, Stefania P, Demartines N. Acute ulcerative jejunal diverticulitis: Case report of an uncommon entity. World J Gastroenterol 2008;14:6265-7. [CrossRef]
7. 7. Singh S, Sandhu HP, Aggarwal V. Perforated jejunal diverticulum: A rare complication. Saudi J Gastroenterol 2011;17:367. [CrossRef]
8. 8. Akhrass R, Yaffe MB, Fischer C, Ponsky J, Shuck JM. Smallbowel diverticulosis: perceptions and reality. J Am Coll Surg 1997;184:383-8.

9. 9. Macari M, Faust M, Liang H, Pachter HL. CT of jejunal diverticulitis: imaging findings, differential diagnosis, and clinical management. Clin Radiol 2007;62:737. [CrossRef