Abstract
The authors report a case of complicated multiple jejunal diverticulosis and review the data from the literature on this pathology. A 74-year-old man was admitted to our unit presenting with symptoms of intestinal obstruction. He had previously experienced three episodes of the same symptomatology with melena. Endoscopy excluded gastroduodenal or colonic bleeding; an X-ray of the small bowel detected multiple large jejunal diverticula. The patient underwent surgery: a jejunal resection was performed just below the Treitz angle extending about 60–70 cm. The postoperative course was uneventful and the patient was discharged on the 8th postoperative day. At present, the patient is doing well and has not since demonstrated any symptoms of either intestinal obstruction or melena.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Germain MA (1981) Les complications des diverticules du jéjunoiléon. EMC Mai: 9074B
Hillemand P, Chergie E, Rosenstiel, Iglesias T (1951) Les diverticules de l'appareil digestif. Arch Mal App Dig 40:836–857
Rubio J, Farrel P (1976) A new technique for identifying bleeding diverticula of the small bowel utilizing methylene blue infusion. Surgery 86:764
Williams RA, Davidson DD, Serota AI, Wilson SE (1981) Surgical problems of diverticula of the small intestine. Surg Gynecol Obstet 152:625–626
Fingerhut A, Eugene C, Pourcher J, Bergue A, Terville JP, Ronat R (1978) Les diverticules acquis de l'intestin grêle. Présentation d'un cas de diverticulite iléale. Gastroenterol Clin Biol 2:299–303
Krishnamurthy S, Kelly MM, Rohrmann CA, Schuffler MD (1983) Jejunal diverticulosis. A heterogeneous disorder caused by a variety of abnormalities of smooth muscle or mesenteric plexus. Gastroenterology 85:538–547
Sales JP, Berger A, Barbier JPh, Cugnec PH (1992) Les diverticules jéjuno-iléaux (Meckel exclus). J Chir (Paris) 129n 2:73–77
Cugnec PH, Lévy E, Parc R, Frileux P, Dilière T, Sales JP (1985) Péritonites primitives d'origine jéjuno-iléale. Ann Chir 8:574–576
Miller RE, McCabe RE, Salomon PF, Knox WG (1970) Surgical complications of small bowel diverticula exclusive of Meckel. Ann Surg 171:202–210
Nobles ER (1971) Jejunal diverticula. Arch Surg 102:172–174
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Fronticelli, C.M., Bellora, P., Ferrero, A. et al. Complicated jejunal diverticulosis: Report of a case. Surg Today 26, 192–195 (1996). https://doi.org/10.1007/BF00311506
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00311506