complicated jejunal diverticulosis: small bowel volvulus with obstruction

نویسندگان

rommel singh mohi department of surgery, govt. medical college and rajindra hospital patiala, punjab, india

ashish moudgil department of surgery, govt. medical college and rajindra hospital patiala, punjab, india

suresh kumar bhatia department of surgery, govt. medical college and rajindra hospital patiala, punjab, india

kaushal seth department of surgery, govt. medical college and rajindra hospital patiala, punjab, india

چکیده

he incidence of the diverticulum of the small bowel varies from 0.2-1.3% in autopsy studies to 2.3% when assessed on enteroclysis. it occurs mostly in patients in the 6th decade of their life. of all the small bowel diverticuli, jejunal diverticulum is the most common type. this rare entity is usually asymptomatic. however, they may cause chronic non-specific symptoms for a long period of time like dyspepsia, chronic postprandial pain, nausea, vomiting, borborgymi, alternating diarrhoea and constipation, weight loss, anaemia, steatorrhea or rarely lead to complications like haemorrhage, obstruction, perforation. obstruction can be due to enterolith, adhesions, intussusception, and volvulus. the condition is difficult to diagnose because patients are generally presented with symptoms that mimic other diseases. it is important for clinicians to have awareness of this entity. here, we present a case of multiple jejunal diverticuli with a history of repeated attacks of diverticulitis over past 20 years, which were misdiagnosed and now presented with intestinal obstruction due to volvulus of the involved segment along with mesentery around its axis. resection of the diverticuli segment of jejunum was done with end-to-end jejuno-jejunal anastomosis. the patient is asymptomatic since 10 months of follow-up.

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Complicated Jejunal Diverticulosis: Small Bowel Volvulus with Obstruction

he incidence of the diverticulum of the small bowel varies from 0.2-1.3% in autopsy studies to 2.3% when assessed on enteroclysis. It occurs mostly in patients in the 6th decade of their life. Of all the small bowel diverticuli, jejunal diverticulum is the most common type. This rare entity is usually asymptomatic. However, they may cause chronic non-specific symptoms for a long period of time ...

متن کامل

Complicated Jejunal Diverticulosis: Small Bowel Volvulus with Obstruction

The incidence of the diverticulum of the small bowel varies from 0.2-1.3% in autopsy studies to 2.3% when assessed on enteroclysis. It occurs mostly in patients in the 6th decade of their life. Of all the small bowel diverticuli, jejunal diverticulum is the most common type. This rare entity is usually asymptomatic. However, they may cause chronic non-specific symptoms for a long period of time...

متن کامل

Small bowel volvulus with a jejunal trichobezoar.

BACKGROUND Small bowel volvulus caused by a jejunal trichobezoar is an extremely rare and life-threatening emergency in children. CASE CHARACTERISTICS An 8-year-old girl with abdominal pain and persistent bilious vomiting. OBSERVATION The abdominal computed tomography scan showed a solitary intraluminal mass and a whirl sign, suggesting the small bowel volvulus. Emergency laparoscopic explo...

متن کامل

Small Bowel Diverticulosis and Jejunal Perforation in Marfan Syndrome

Marfan syndrome is an autosomal dominant disorder involving mutation in the FBN1 gene, which encodes fibrillin-1, a protein critical to maintain the integrity of connective tissue. A mutation in this gene can affect multiple organ systems, but it is not classically associated with gastrointestinal complications. We describe a man with Marfan syndrome with multiple small bowel diverticula leadin...

متن کامل

Jejunal diverticulosis with enterolith – presenting as acute intestinal obstruction

The case of a 55-year male, who had acute small intestinal obstruction due to jejunal diverticuli and a large (5 x 4 cm) stone (enterolith) is presented here. The stone however could not be detected before surgery on plain X-ray abdomen. The patient was resuscitated and within a few hours taken up for surgery. Barring an inflammatory band from jejunum till sigmoid colon, rest of the colon was n...

متن کامل

Jejunal diverticulosis

A 70-year-old patient presented with a 6-month history of bloating, flatulence, diarrhea and foul-smelling retching. He had undergone a Billroth II gastrectomy due to complicated peptic ulcer disease 30 years ago. Physical examination denoted mild abdominal distention. Laboratory tests revealed macrocytic anemia (Hb: 10.1 g/dL, MCV: 102 Fl) with severe vitamin B12 deficiency (161 pg/mL), althou...

متن کامل

منابع من

با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید


عنوان ژورنال:
iranian journal of medical sciences

جلد ۴۱، شماره ۶، صفحات ۵۴۸-۰

میزبانی شده توسط پلتفرم ابری doprax.com

copyright © 2015-2023