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. 2010 Jan 27;2(1):26-9.
doi: 10.4240/wjgs.v2.i1.26.

Jejunal diverticular disease complicated by enteroliths: Report of two different presentations

Paul Chugay  1 , John Choi, Xiang Da Dong
Affiliations

Jejunal diverticular disease complicated by enteroliths: Report of two different presentations

Paul Chugay et al. World J Gastrointest Surg. .

Abstract

Jejunal diverticula are quite rare. Furthermore, small bowel diverticular disease resulting in enteroliths can lead to complications necessitating surgical intervention. In this manuscript, we report two presentations of jejunal diverticulum with complications from enteroliths followed by a review of the literature. The first case was that of a 79-year-old male who presented with abdominal pain and was found, on computed tomography (CT) scan, to have evidence of intestinal perforation. A laparotomy showed that he had perforated jejunal diverticulitis. The second case was that of an 89-year-old female who presented with recurrent episodes of bowel obstruction. A laparotomy showed that she had an enterolith impacted in her jejunum in the presence of significant diverticular disease. Although a rare entity, familiarity with jejunal diverticular disease, its complications, and its management, should be part of every surgeon's base of knowledge when considering abdominal pathology.

Keywords: Acute abdomen; Bowel obstruction; Diverticula disease; Enterolith; Jejunum.

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Figures

Figure 1
Figure 1
CT scan of a patient with perforated jejunal diverticulitis. A: The scan demonstrates free air and inflammatory changes surrounding the site of perforation in a patient presenting with left sided focal peritonitis. The arrows point to extra-luminal free air; B: Another transverse image showing free air and inflammatory changes around the site of perforation.
Figure 2
Figure 2
Coronal section of a CT scan demonstrating partial small bowel obstruction (SBO) in a patient with enterolith ileus. Note the dilated loops of bowel and fecalization just proximal to the obstruction in the right lower quadrant.
Figure 3
Figure 3
Upper GI with small bowel follow-through demonstrating multiple diverticula in the small bowel as evidenced by the diverticulum (arrow) indicated above.
Figure 4
Figure 4
Gross picture of jejunal diverticula disease. A: Multiple jejunal diverticula are shown; B: Obstructed jejunum from impacted stone with significant hyperemia.
Figure 5
Figure 5
A 3 cm enterolith is noted in the intestine leading to obstruction.
See this image and copyright information in PMC

References

    1. Cooper SA. The Anatomy and surgical treatment of abdominal hernia. Philadelphia: Lea and Blanchard; 1844.
    1. Hayee B, Khan HN, Al-Mishlab T, McPartlin JF. A case of enterolith small bowel obstruction and jejunal diverticulosis. World J Gastroenterol. 2003;9:883–884. - PMC - PubMed
    1. Silen W. Cope's Early Diagnosis of the Acute Abdomen, 21st ed. New York: Oxford University Press; 2005.
    1. Chiu EJ, Shyr YM, Su CH, Wu CW, Lui WY. Diverticular disease of the small bowel. Hepatogastroenterology. 2000;47:181–184. - PubMed
    1. Edwards HC. Diverticulosis of the small intestine. Ann Surg. 1936;103:230–254. - PMC - PubMed