Jejunal Diverticulitis: A Rare Case of Severe Peritonitis

A 25-year-old African American female with no prior medical/surgical history presented with abdominal pain and fever. A computed tomography scan of the abdomen and pelvis showed jejunal wall thickening with an air-fluid-filled mass in the adjacent mesentery. At laparotomy, a segmental jejunal resection with the abscess cavity followed by primary anastomosis was performed. Pathological evaluation of the specimen revealed a large mesenteric abscess contiguous with a perforated solitary jejunal diverticulum. We provide a discussion of jejunal diverticulitis as an unusual cause of peritonitis.

[1]  Ashish Agarwala,et al.  Jejunal Diverticulosis , 2010, The American surgeon.

[2]  S. Scabini,et al.  Complicated small-bowel diverticulosis: a case report and review of the literature. , 2009, Chirurgia italiana.

[3]  M. Macari,et al.  CT of jejunal diverticulitis: imaging findings, differential diagnosis, and clinical management. , 2007, Clinical radiology.

[4]  R. P. Shanmugam,et al.  A rare complication of jejunal diverticulosis. , 2006, Tropical gastroenterology : official journal of the Digestive Diseases Foundation.

[5]  L. Gerson,et al.  Jejunal diverticulosis diagnosed by double-balloon enteroscopy. , 2006, Gastrointestinal endoscopy.

[6]  P. Mummaneni,et al.  Report of two cases and review of the literature , 2004 .

[7]  T. Masui,et al.  Abdominal Wall Abscess Associated with Perforated Jejunal Diverticulitis: Report of a Case , 2004, Surgery Today.

[8]  M. Aldemir,et al.  Multiple Jejunal Diverticulitis with Perforation in a Patient with Systemic Lupus Erythematosus: Report of a Case , 2003, Surgery Today.

[9]  J. M. Peña,et al.  Is ADPKD associated with small-bowel diverticular disease? , 2000, Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association.

[10]  B. Braithwaite,et al.  Enterolith ileus complicating jejunal diverticulosis. , 1999, Journal of clinical gastroenterology.

[11]  E. Shemesh,et al.  Acute diverticulitis of the small bowel: CT findings , 1999, Abdominal Imaging.

[12]  P. Metzger,et al.  Small-intestinal enteroliths—Unusual cause of small-intestinal obstruction , 1999, Diseases of the colon and rectum.

[13]  S. Aoyagi,et al.  Ileo-abdominal wall fistula caused by diverticulum of the ileum , 1998, Journal of Gastroenterology.

[14]  R. Doerr,et al.  Small bowel obstruction secondary to enterolith impaction complicating jejunal diverticulitis. , 1997, The American journal of gastroenterology.

[15]  R. Perrone.  Extrarenal manifestations of ADPKD. , 1997, Kidney international.

[16]  M. Yaffe,et al.  Small-bowel diverticulosis: perceptions and reality. , 1997, Journal of the American College of Surgeons.

[17]  E. Kivilaakso,et al.  Duodenal diverticulum at endoscopic retrograde cholangiopancreatography, analysis of 123 patients. , 1996, Hepato-gastroenterology.

[18]  M. Farnell,et al.  Nonmeckelian jejunal or ileal diverticulosis: an analysis of 112 cases. , 1994, Surgery.

[19]  C. Changchien,et al.  Small-bowel diverticulum: is it a risk for small-bowel volvulus? , 1994, Journal of Clinical Gastroenterology.

[20]  R. Broll,et al.  Clinical significance of duodenal diverticula. , 1994, Journal of the American College of Surgeons.

[21]  C. Fichtenbaum,et al.  Review of duodenal diverticula. , 1991, The American journal of gastroenterology.

[22]  C. Lai,et al.  Congenital arteriovenous malformation rupturing into a true jejunal diverticulum. , 1989, American Journal of Gastroenterology.

[23]  F. Kelvin,et al.  Acquired jejunoileal diverticular disease: subject review. , 1986, Radiology.

[24]  C. Rohrmann,et al.  Jejunal diverticulosis. A heterogenous disorder caused by a variety of abnormalities of smooth muscle or myenteric plexus. , 1983, Gastroenterology.

[25]  Carlson Hc,et al.  Intraluminal duodenal diverticulum. Report of two cases and review of the literature. , 1975 .

[26]  C. Fleming,et al.  Intraluminal duodenal diverticulum. Report of two cases and review of the literature. , 1975, Mayo Clinic proceedings.