Introduction: Small bowel diverticula is a rare condition and is rarely seen in the jejunum compared to the ileum. It is usually incidentally detected. It is mostly asymptomatic. Herein, we aimed to discuss a case of multiple jejunal diverticula that have caused pseudoobstruction in the light of the literature.
Case Report: A 55-year-old male patient had complaints of abdominal pain, abdominal swelling, nausea and vomiting. Mechanic intestinal obstruction was considered. He was taken to the operation after resuscitation. Multiple giant diverticula were found in entire jejunum.
Conclusions: Jejunal diverticula may produce a different clinical picture. It should be kept in mind that jejunal diverticula that is a rare condition may cause pseudoobstruction.
1. Prough H, Jaffe S, Jones B. Jejunal diverticulitis. J Surg Case Rep. 2019; 31: 1-3. doi: 10.1093/jscr/rjz005.
2. Mazahreh TS, Aleshawi AJ, Alorjani MS, Elayyan R, Al-Zoubi NA. Arteriovenous malformations within jejunal diverticulosis: case report and literature review. BMC Surg. 2019 Jun 27;19(1):70-5. doi: 10.1186/s12893-019-0538-0.
3. Wilcox RD, Shatney CH. Surgical implications of jejunal diverticula. South Med J. 1988;81:1386–91.
4. Syllaios A, Koutras A, Zotos PA, Triantafyllou E, Bourganos N, Koura S, et al. Jejunal diverticulitis mimicking small bowel perforation: case report and review of the literature. Chirurgia (Bucur) 2018;113:576–81.
5. Woods K, Williams E, Melvin W, Sharp K. Acquired jejunoileal diverticulosis and its complications: a review of the literature. Am Surg 2008; 74:849-54
6. Kassahun WT, Fangmann J, Harms J, Bartels M, Hauss J. Complicated small-bowel diverticulosis: a case report and review of the literature. World J Gastroenterol 2007; 13: 2240-2
7. Yen HH, Chen YY, Yang CW, Soon MS. Diagnosis and management of jejunoileal diverticular hemorrhage: a decade of experience. J Dig Dis 2012; 13: 316-20
8. Uhm MS, Kim N, Nah JC, Jung YM, Kang SB, Kim DW, et al. Congenital angiodysplasia in a woman presenting with idiopathic jejunal varicosis on angiography. Gut Liver. 2009;3:122–6.
9. Makris K, Tsiotos GG, Stafyla V, Ponsky J, Shuck JM. Small intestinal nonmeckelian diverticulosis. J Clin Gastroenterol 2009; 43: 201-7
1. Prough H, Jaffe S, Jones B. Jejunal diverticulitis. J Surg Case Rep. 2019; 31: 1-3. doi: 10.1093/jscr/rjz005.
2. Mazahreh TS, Aleshawi AJ, Alorjani MS, Elayyan R, Al-Zoubi NA. Arteriovenous malformations within jejunal diverticulosis: case report and literature review. BMC Surg. 2019 Jun 27;19(1):70-5. doi: 10.1186/s12893-019-0538-0.
3. Wilcox RD, Shatney CH. Surgical implications of jejunal diverticula. South Med J. 1988;81:1386–91.
4. Syllaios A, Koutras A, Zotos PA, Triantafyllou E, Bourganos N, Koura S, et al. Jejunal diverticulitis mimicking small bowel perforation: case report and review of the literature. Chirurgia (Bucur) 2018;113:576–81.
5. Woods K, Williams E, Melvin W, Sharp K. Acquired jejunoileal diverticulosis and its complications: a review of the literature. Am Surg 2008; 74:849-54
6. Kassahun WT, Fangmann J, Harms J, Bartels M, Hauss J. Complicated small-bowel diverticulosis: a case report and review of the literature. World J Gastroenterol 2007; 13: 2240-2
7. Yen HH, Chen YY, Yang CW, Soon MS. Diagnosis and management of jejunoileal diverticular hemorrhage: a decade of experience. J Dig Dis 2012; 13: 316-20
8. Uhm MS, Kim N, Nah JC, Jung YM, Kang SB, Kim DW, et al. Congenital angiodysplasia in a woman presenting with idiopathic jejunal varicosis on angiography. Gut Liver. 2009;3:122–6.
9. Makris K, Tsiotos GG, Stafyla V, Ponsky J, Shuck JM. Small intestinal nonmeckelian diverticulosis. J Clin Gastroenterol 2009; 43: 201-7
Çakır, M. (2020). Giant Jejunal Diverticula Causing Pseudoobstruction. Journal of Emergency Medicine Case Reports, 11(3), 71-73. https://doi.org/10.33706/jemcr.744147
AMA
Çakır M. Giant Jejunal Diverticula Causing Pseudoobstruction. Journal of Emergency Medicine Case Reports. Kasım 2020;11(3):71-73. doi:10.33706/jemcr.744147
Chicago
Çakır, Murat. “Giant Jejunal Diverticula Causing Pseudoobstruction”. Journal of Emergency Medicine Case Reports 11, sy. 3 (Kasım 2020): 71-73. https://doi.org/10.33706/jemcr.744147.
EndNote
Çakır M (01 Kasım 2020) Giant Jejunal Diverticula Causing Pseudoobstruction. Journal of Emergency Medicine Case Reports 11 3 71–73.
IEEE
M. Çakır, “Giant Jejunal Diverticula Causing Pseudoobstruction”, Journal of Emergency Medicine Case Reports, c. 11, sy. 3, ss. 71–73, 2020, doi: 10.33706/jemcr.744147.
ISNAD
Çakır, Murat. “Giant Jejunal Diverticula Causing Pseudoobstruction”. Journal of Emergency Medicine Case Reports 11/3 (Kasım 2020), 71-73. https://doi.org/10.33706/jemcr.744147.
JAMA
Çakır M. Giant Jejunal Diverticula Causing Pseudoobstruction. Journal of Emergency Medicine Case Reports. 2020;11:71–73.
MLA
Çakır, Murat. “Giant Jejunal Diverticula Causing Pseudoobstruction”. Journal of Emergency Medicine Case Reports, c. 11, sy. 3, 2020, ss. 71-73, doi:10.33706/jemcr.744147.
Vancouver
Çakır M. Giant Jejunal Diverticula Causing Pseudoobstruction. Journal of Emergency Medicine Case Reports. 2020;11(3):71-3.