A rare case of multiple jejunal diverticulosis presenting as intestinal obstruction

  • Alok Kumar Tiwari | dralokty1@gmail.com Department of Surgery, Lady Hardinge Medical College, New Delhi, India.
  • Vijay Gupta Department of Surgery, Lady Hardinge Medical College, New Delhi, India.
  • Priya Hazrah Department of Surgery, Lady Hardinge Medical College, New Delhi, India.
  • Romesh Lal Department of Surgery, Lady Hardinge Medical College, New Delhi, India.

Abstract

Diverticulosis is rare in jejunum and its unusual presentation of mechanical obstruction is difficult to diagnose pre-operatively. We report a case of a 54-year old male patient who had symptoms of general abdominal pain and vomiting off and on for three years. He had been assessed elsewhere and had received a course of anti-tubercular treatment empirically based on features of recurrent intestinal obstruction due to prevalence of tuberculosis in this region. The patient had presented himself with signs and symptoms of dynamic intestinal obstruction. On examination, the abdomen was found to be swollen with a central abdominal distension and hyperactive bowel sounds. The erect abdominal radiograph showed multiple air-fluid levels and dilated jejunal loops. Following this, the patient underwent an emergency exploratory laparotomy. This revealed multiple jejunal diverticulae, multiple bands and adhesions involving jejunum and proximal ileum. The bands and adhesions were removed and the jejunum was resected along with the inflamed diverticulae.

Downloads

Download data is not yet available.

Author Biography

Alok Kumar Tiwari, Department of Surgery, Lady Hardinge Medical College, New Delhi

Senior Resident

Published
2013-08-02
Section
Case Reports
Keywords:
jejunal diverticulosis, small bowel obstruction, bands, localized cocoon.
Statistics
Abstract views: 794

PDF: 470
HTML: 2696
Share it

PlumX Metrics

PlumX Metrics provide insights into the ways people interact with individual pieces of research output (articles, conference proceedings, book chapters, and many more) in the online environment. Examples include, when research is mentioned in the news or is tweeted about. Collectively known as PlumX Metrics, these metrics are divided into five categories to help make sense of the huge amounts of data involved and to enable analysis by comparing like with like.

How to Cite
Tiwari, A., Gupta, V., Hazrah, P., & Lal, R. (2013). A rare case of multiple jejunal diverticulosis presenting as intestinal obstruction. Clinics and Practice, 3(2), e21. https://doi.org/10.4081/cp.2013.e21