Jejunal diverticulum perforation resulting from distal mechanic obstruction: A case report
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Case Reports
VOLUME: 27 ISSUE: 3
P: 171 - 173
September 2011

Jejunal diverticulum perforation resulting from distal mechanic obstruction: A case report

Turk J Surg 2011;27(3):171-173
1. Yüzüncü Yıl Üniversitesi, Tıp Fakültesi, Genel Cerrahi AD, Van, Türkiye
2. İnönü Üniversitesi, Tıp Fakültesi Genel Cerrahi AD, Malatya, Türkiye
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Abstract

Excluding Meckel's diverticulum, jejunum and ileum diverticula are acquired diverticula which are rarely observed and have an asymptomatic course. They are mostly observed in elderly patients. Men are twice as likely as women to have diverticula. The complications like inflammation, bleeding, obstruction and perforation may develop in less than 10% of patients with jejunal diverticula. Perforation, as an uncommon complication, may occur following diverticulitis in 82%, blunt trauma in 12%, and impact of foreign body in 6% of cases. Herein we present a 62 year old man operated emergently due to development of acute abdomen that resulted from perforation caused by an increased jejunal and diverticular pressure secondary to rectal obstruction without any common factors mentioned for diverticular perforation. We performed resection and anastomosis at operation.

Keywords:
Rectal cancer, jejunal diverticulum, perforation, acut abdomen

References

1
Patel V A, Jefferis H, Spiegelberg B, Iqbal Q, Prabhudesai A, Haris S. Jejunal diverticulosis is not always a silent spectator: A report of 4 cases and review of the literature. World J Gastroenterol 2008; 14: 5916-5919. doi:10.3748/wjg.14.5916
2
Wilcox RD, Shatney CH. Surgical implications of jejunal diverticula. South Med J 1988; 81: 1386-1391. doi:10.1097/00007611-198811000-00013
3
Fisher JK, Fortin D. Partial small bowel obstruction secondary to ileal diverticulitis. Radiology 1977; 122: 321-322.
4
Tsiotos GG, Farnell MB, Ilstrup DM. Nonmeckelian jejunal or ileal diverticulosis: an analysis of 112 cases. Surgery 1994; 116: 726-731.
5
Caplan LH, Jacobson HG. Small intestinal diverticulosis. Am J Roentgenol 1964; 92: 1048-1060.
6
Roses DF, Gouge TH, Scher KS, Ranson JH. Perforated diverticula of the jejunum and ileum. Am J Surg 1976; 132: 649-652. doi:10.1016/0002-9610(76)90364-0
7
Miller RE, McCabe RE, Salomon PF, Knox WG. Surgical complications of small bowel diverticula exclusive of Meckel's. Ann Surg 1970; 171: 202-210. doi:10.1097/00000658-197002000-00007
8
Kelekis AD, Poletti PA. Jejunal diverticulitis with localized perforation diagnosed by ultrasound: a case report. Eur Radiol 2002; 12: 78-81.
9
Staszewicz W, Chistodoulou M, Proietti S, Demartines N. Acute ulcerative jejunal diverticulitis: Case report of an uncommon entity. World Gastroenterol 2008; 14: 6265-6267. doi:10.3748/wjg.14.6265
10
Akhrass R, Yaffe MB, Fischer C, Ponsky J, Shuck JM. Small bowel diverticulosis: perceptions and reality. J AM Coll Surg 1997; 184: 383-388.
11
Herrington JL Jr. Perforation of acuired diverticula of the jejunum and ileum. Analysis of reported cases. Surgery 1962; 51: 426-433.
12
Sibille A, Willocox R. Jejunal diverticulitis. Am J Gastroenterol 1992; 87: 655-658.
13
Cross MJ, Synder SK. Laparoscopicdirected small bowel resection for jejunal diverticulitis with perforation. J Laparoendosc Surg 1993; 3: 47-49. doi:10.1089/lps.1993.3.47