Surgery Today

, Volume 26, Issue 3, pp 192–195 | Cite as

Complicated jejunal diverticulosis: Report of a case

  • Carlo Maria Fronticelli
  • Paolo Bellora
  • Alessandro Ferrero
  • Gian Carlo Anselmetti
  • Giorgio Passarino
  • Paola Burlo
Case Reports

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.

Key Words

jejunal diverticulosis physiopathology complication 

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References

  1. 1.
    Germain MA (1981) Les complications des diverticules du jéjunoiléon. EMC Mai: 9074BGoogle Scholar
  2. 2.
    Hillemand P, Chergie E, Rosenstiel, Iglesias T (1951) Les diverticules de l'appareil digestif. Arch Mal App Dig 40:836–857Google Scholar
  3. 3.
    Rubio J, Farrel P (1976) A new technique for identifying bleeding diverticula of the small bowel utilizing methylene blue infusion. Surgery 86:764Google Scholar
  4. 4.
    Williams RA, Davidson DD, Serota AI, Wilson SE (1981) Surgical problems of diverticula of the small intestine. Surg Gynecol Obstet 152:625–626Google Scholar
  5. 5.
    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 2:299–303Google Scholar
  6. 6.
    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 85:538–547Google Scholar
  7. 7.
    Sales JP, Berger A, Barbier JPh, Cugnec PH (1992) Les diverticules jéjuno-iléaux (Meckel exclus). J Chir (Paris) 129n 2:73–77Google Scholar
  8. 8.
    Cugnec PH, Lévy E, Parc R, Frileux P, Dilière T, Sales JP (1985) Péritonites primitives d'origine jéjuno-iléale. Ann Chir 8:574–576Google Scholar
  9. 9.
    Miller RE, McCabe RE, Salomon PF, Knox WG (1970) Surgical complications of small bowel diverticula exclusive of Meckel. Ann Surg 171:202–210Google Scholar
  10. 10.
    Nobles ER (1971) Jejunal diverticula. Arch Surg 102:172–174Google Scholar

Copyright information

© Springer-Verlag 1996

Authors and Affiliations

  • Carlo Maria Fronticelli
    • 1
  • Paolo Bellora
    • 1
  • Alessandro Ferrero
    • 1
  • Gian Carlo Anselmetti
    • 2
  • Giorgio Passarino
    • 3
  • Paola Burlo
    • 3
  1. 1.Sixth Division of General SurgeryUniversity of Turin, Molinette HospitalTurinItaly
  2. 2.Department of RadiologyUniversity of Turin, Molinette HospitalTurinItaly
  3. 3.Department of Biomedical Sciences and Human Oncology, Division of Pathological AnatomyUniversity of Turin, Molinette HospitalTurinItaly

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