Abstract
In the past two decades, several reports have documented inflammatory changes in acquired diverticula of the terminal ileum and their associated complications, namely, perforation, intestinal obstruction, gastrointestinal hemorrhage, and fistulization. A comprehensive review revealed 28 cases of diverticulitis of the terminal ileum documented in the world medical literature. Only one case of internal fistula (ileovesical) has been reported previously. This report describes another patient with diverticulitis of the terminal ileum with associated perforation and jejunoileal fistula and reviews the world literature.
Similar content being viewed by others
References
Caplan LH, Jacobson HG. Small intestinal diverticulosis. AJR 1964;92:1048–60.
Parulekar SG. Diverticulosis of the terminal ileum and its complications. Radiology 1972;103:283–7.
Lee RE, Finby N. Jejunal and ileal diverticulosis. Arch Intern Med 1958;102:97–102.
Fisher JK, Fortin D. Partial small bowel obstruction secondary to ileal diverticulitis. Radiology 1977;122:321–2
Miller WB, Felson B. Diverticulitis of the terminal ileum. AJR 1966;96:361–5.
Mydland WE, Spackman LF, Mason VT. An interesting complication of jejuno-ileal diverticulitis. Gan J Surg 1960;4:96–8.
Delaney WE, Hedges RC. Acquired ileal diverticulosis and hemorrhagic diverticulitis. Gastroenterology 1962;42:56–9.
Koletsky S. Ruptured diverticulum of ileum: case record presenting clinical problems. Ohio State Med J 1941;37:1078.
Ackerman NB. Perforated diverticulitis of the terminal ileum. Am J Surg 1974;128:426–8.
Smith RL, Hutchins GM. Pulmonary fecal embolization complicating the Budd-Chiari syndrome. N Engl J Med 1978;298:1069–70.
Ritvo M, Votta PJ. Diverticulosis of the jejunum and ileum. Radiology 1946;46:343–50.
Strode JL. Diverticula of ileum: report of a case coming to surgery. Hawaii Med J 1955;14:495–7.
Dalmas H, Rampal M. Diverticulose et diverticulites perforees de l’ileum terminal. Marseille Chir 1958;10:482–4.
Constantinides SG, Breidenbach L. Diverticulitis of the ileum. J Abdom Surg 1963;5:47–9.
Patankar VJ. Multiple ilea diverticula associated with perforation and peritonitis. J Indian Med Assoc 1966;46:452–3.
Bartone NF, Grieco RV. Acute diverticulitis of the terminal ileum. JAMA 1967;202:1103–5.
Cocks JR, Zino FJ. Acute diverticulitis of the terminal ileum. Br J Surg 1968;55:45–49
Miller RE, McCabe RE, Salomon PF, Knox WG. Surgical complications of small bowel diverticula exclusive of Meckel’s. Ann Surg 1970;171:202–10.
Clements JL Jr, Berman M. Acute diverticulitis of the terminal ileum. Am J Gastroenterol 1970;53:169–72.
Evans WE, Wall TR, Ellison EH. Inflammatory mass of the mesentery: diagnosis and therapeutic problems. Surg Clin North Am 1970;50:1039–43.
Pierce W, Rosato FE, Rosato EF Acute diverticulitis of the ileocecal region: diagnosis and management. Am Surg 1971;37:408–12.
Ikenaga T, Takeuchi Y. Acute diverticulitis of the terminal ileum. Am J Gastroenterol 1972;57:68–73.
Bloch C, Bryk D. Diverticular disease of the terminal ileum. Mt Sinai J Med (NY) 1976;43:122–8.
Kraus M, Sampson D, Wilson SD. Perforaction of diverticulum of terminal ileum presenting as acute appendicitis. Surgery 1976;79:724–5.
Crowley JG. Perforation in acquired diverticular disease of the terminal ileum Am Surg 1973;39:514–7.
Author information
Authors and Affiliations
About this article
Cite this article
Bokhari, S.R., Resnik, A.M. & Nemir, P. Diverticulitis of the terminal ileum. Dis Colon Rectum 25, 660–663 (1982). https://doi.org/10.1007/BF02629535
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF02629535