Skip to main content

Advertisement

Log in

Diverticulitis of the terminal ileum

Report of a case and review of the literature

  • Published:
Diseases of the Colon & Rectum

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Caplan LH, Jacobson HG. Small intestinal diverticulosis. AJR 1964;92:1048–60.

    CAS  Google Scholar 

  2. Parulekar SG. Diverticulosis of the terminal ileum and its complications. Radiology 1972;103:283–7.

    PubMed  CAS  Google Scholar 

  3. Lee RE, Finby N. Jejunal and ileal diverticulosis. Arch Intern Med 1958;102:97–102.

    CAS  Google Scholar 

  4. Fisher JK, Fortin D. Partial small bowel obstruction secondary to ileal diverticulitis. Radiology 1977;122:321–2

    PubMed  CAS  Google Scholar 

  5. Miller WB, Felson B. Diverticulitis of the terminal ileum. AJR 1966;96:361–5.

    CAS  Google Scholar 

  6. Mydland WE, Spackman LF, Mason VT. An interesting complication of jejuno-ileal diverticulitis. Gan J Surg 1960;4:96–8.

    CAS  Google Scholar 

  7. Delaney WE, Hedges RC. Acquired ileal diverticulosis and hemorrhagic diverticulitis. Gastroenterology 1962;42:56–9.

    PubMed  CAS  Google Scholar 

  8. Koletsky S. Ruptured diverticulum of ileum: case record presenting clinical problems. Ohio State Med J 1941;37:1078.

    Google Scholar 

  9. Ackerman NB. Perforated diverticulitis of the terminal ileum. Am J Surg 1974;128:426–8.

    Article  PubMed  CAS  Google Scholar 

  10. Smith RL, Hutchins GM. Pulmonary fecal embolization complicating the Budd-Chiari syndrome. N Engl J Med 1978;298:1069–70.

    Article  PubMed  CAS  Google Scholar 

  11. Ritvo M, Votta PJ. Diverticulosis of the jejunum and ileum. Radiology 1946;46:343–50.

    Google Scholar 

  12. Strode JL. Diverticula of ileum: report of a case coming to surgery. Hawaii Med J 1955;14:495–7.

    PubMed  CAS  Google Scholar 

  13. Dalmas H, Rampal M. Diverticulose et diverticulites perforees de l’ileum terminal. Marseille Chir 1958;10:482–4.

    CAS  Google Scholar 

  14. Constantinides SG, Breidenbach L. Diverticulitis of the ileum. J Abdom Surg 1963;5:47–9.

    PubMed  CAS  Google Scholar 

  15. Patankar VJ. Multiple ilea diverticula associated with perforation and peritonitis. J Indian Med Assoc 1966;46:452–3.

    PubMed  CAS  Google Scholar 

  16. Bartone NF, Grieco RV. Acute diverticulitis of the terminal ileum. JAMA 1967;202:1103–5.

    Article  PubMed  CAS  Google Scholar 

  17. Cocks JR, Zino FJ. Acute diverticulitis of the terminal ileum. Br J Surg 1968;55:45–49

    Article  PubMed  CAS  Google Scholar 

  18. Miller RE, McCabe RE, Salomon PF, Knox WG. Surgical complications of small bowel diverticula exclusive of Meckel’s. Ann Surg 1970;171:202–10.

    Article  PubMed  CAS  Google Scholar 

  19. Clements JL Jr, Berman M. Acute diverticulitis of the terminal ileum. Am J Gastroenterol 1970;53:169–72.

    PubMed  Google Scholar 

  20. Evans WE, Wall TR, Ellison EH. Inflammatory mass of the mesentery: diagnosis and therapeutic problems. Surg Clin North Am 1970;50:1039–43.

    PubMed  CAS  Google Scholar 

  21. Pierce W, Rosato FE, Rosato EF Acute diverticulitis of the ileocecal region: diagnosis and management. Am Surg 1971;37:408–12.

    PubMed  CAS  Google Scholar 

  22. Ikenaga T, Takeuchi Y. Acute diverticulitis of the terminal ileum. Am J Gastroenterol 1972;57:68–73.

    PubMed  CAS  Google Scholar 

  23. Bloch C, Bryk D. Diverticular disease of the terminal ileum. Mt Sinai J Med (NY) 1976;43:122–8.

    CAS  Google Scholar 

  24. Kraus M, Sampson D, Wilson SD. Perforaction of diverticulum of terminal ileum presenting as acute appendicitis. Surgery 1976;79:724–5.

    PubMed  CAS  Google Scholar 

  25. Crowley JG. Perforation in acquired diverticular disease of the terminal ileum Am Surg 1973;39:514–7.

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

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

Download citation

  • Received:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02629535

Key words

Navigation