Jejunal Diverticulosis Complicated by Diverticulitis and Small Bowel Obstruction

Diverticular disease is common in the Western population and can cause considerable morbidity. The prevalence of colonic diverticulosis reaches 60% by the age of 60 years. Small bowel diverticulosis is much rarer and, when present, most commonly occurs in the duodenum. We herein report an elderly woman with jejunal diverticulosis complicated by diverticulitis and small bowel obstruction, who subsequently underwent small bowel resection and primary anastomosis. As demonstrated by this case, jejunal diverticulitis can cause serious complications and given the possibility of recurrence and serious complications, surgical options should be discussed early in the course of medical care.

[1]  Kaleem Rizvon,et al.  Jejunal diverticulitis in a healthy 91-year-old man , 2018, BMJ Case Reports.

[2]  P. Taourel,et al.  Acute Jejunoileal Diverticulitis: Multicenter Descriptive Study of 33 Patients. , 2018, AJR. American journal of roentgenology.

[3]  Meenakshi,et al.  Complicated jejunal diverticulitis with unusual presentation , 2017, Radiology case reports.

[4]  A. Guirat,et al.  Jejunal diverticulitis. Review and treatment algorithm. , 2017, Presse medicale.

[5]  Haris N. Shekhani,et al.  Small bowel diverticulitis: an imaging review of an uncommon entity , 2017, Emergency Radiology.

[6]  M. Elghali,et al.  Jejunal diverticulosis: a rare case of intestinal obstruction , 2016, Journal of surgical case reports.

[7]  C. Boutet,et al.  Jejuno–ileal diverticulitis: Etiopathogenicity, diagnosis and management , 2015, International journal of surgery case reports.

[8]  A. Kaiser,et al.  Practice parameters for the treatment of sigmoid diverticulitis. , 2014, Diseases of the colon and rectum.

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

[10]  N. Demartines,et al.  Acute ulcerative jejunal diverticulitis: case report of an uncommon entity. , 2008, World journal of gastroenterology.

[11]  John J. Park,et al.  Meckel Diverticulum: The Mayo Clinic Experience With 1476 Patients (1950–2002) , 2005, Annals of surgery.

[12]  T. Gamblin,et al.  Bowel obstruction caused by a Meckel's diverticulum enterolith: a case report and review of the literature. , 2003, Current surgery.

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