Volvulus complicating jejunal diverticulosis: A case report

International Journal of Surgery Case Reports
P O IgweE F Alufohai

Abstract

Diverticular disease is uncommon among Africans though increasing number of cases is now being reported, mainly of colonic diverticulosis. This condition afflicts all parts of the gastrointestinal tract but commonly the colon. Jejunal diverticula are rare, usually asymptomatic but may lead to an acute abdomen. A 68 year old female trader, who was referred from a peripheral center with insidious onset of severe colicky, generalized abdominal pain, repeated vomiting of recently ingested meal, no hematemesis. There was constipation and abdominal distension. The working diagnosis was dynamic intestinal obstruction of small bowel origin. She had emergency exploratory laparotomy following resuscitation. The findings were: volvulus of the jejunum and multiple jejunal diverticula. A resection of 80cm of the jejunum with most of the diverticula involved in the torsion was done with an end-to-end anastomosis of the jejunum. Her out-patient follow-up has been uneventful. Jejunal diverticular disease is rare in Africa. Our patient presented with small bowel obstruction due to volvulus. Other complications are discussed. Intestinal obstruction from diverticular disease is not always of colonic origin. It can occur in the jejunum.

References

Aug 1, 1988·Scandinavian Journal of Gastroenterology·L P AndersenB Halver
Nov 24, 2005·Gastroenterology Clinics of North America·Elizabeth J Carey, David E Fleischer
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Jul 29, 2011·The New England Journal of Medicine·Ming-Yuan Hong, Chih-Hsien Chi

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Citations

Jan 24, 2017·Revista Española De Enfermedades Digestivas : Organo Oficial De La Sociedad Española De Patología Digestiva·Beatriz Laiz DíezManuel Durán Poveda

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