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. 2011 Mar 8;6(1):8.
doi: 10.1186/1749-7922-6-8.

Multiple giant diverticula of the jejunum causing intestinal obstruction: report of a case and review of the literature

Evangelos Falidas  1 , Konstantinos Vlachos, Stavros Mathioulakis, Fotis Archontovasilis, Constantinos Villias
Affiliations

Multiple giant diverticula of the jejunum causing intestinal obstruction: report of a case and review of the literature

Evangelos Falidas et al. World J Emerg Surg. .

Abstract

Multiple diverticulosis of jejunum represents an uncommon pathology of the small bowel. The disease is usually asymptomatic and must be taken into consideration in cases of unexplained malabsorption, anemia, chronic abdominal pain or discomfort. Related complications such as diverticulitis, perforation, bleeding or intestinal obstruction appear in 10-30% of the patients increasing morbidity and mortality rates. We herein report a case of a 55 year-old man presented at the emergency department with acute abdominal pain, vomiting and fever. Preoperative radiological examination followed by laparotomy revealed multiple giant jejunal diverticula causing intestinal obstruction. We also review the literature for this uncommon disease.

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Figures

Figure 1
Figure 1
X-ray abdominal film on admission, showing distended small bowel loops and gas-fluid levels.
Figure 2
Figure 2
Enteroclysis showing multiple and dilated jejunal diverticula.
Figure 3
Figure 3
Intraoperative findings. Multiple giant diverticula arising at the mesenteric border of the jejunum.
Figure 4
Figure 4
Intraoperative findings. Multiple giant diverticula arising at the mesenteric border of the jejunum.
Figure 5
Figure 5
Multiple ileal diverticula were incidentally discovered during exploratory laparotomy for intestinal bleeding. Diverticula were not resected.
See this image and copyright information in PMC

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