A rare case of multiple jejunal diverticulosis presenting as intestinal obstruction
Diverticulosis is rare in jejunum and its unusual presentation of mechanical obstruction is difficult to diagnose pre-operatively. We report a case of a 54-year old male patient who had symptoms of general abdominal pain and vomiting off and on for three years. He had been assessed elsewhere and had...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2013-08-01
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| Series: | Clinics and Practice |
| Subjects: | |
| Online Access: | https://www.clinicsandpractice.org/index.php/cp/article/view/591 |
| _version_ | 1798026600925626368 |
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| author | Alok Kumar Tiwari Vijay Gupta Priya Hazrah Romesh Lal |
| author_facet | Alok Kumar Tiwari Vijay Gupta Priya Hazrah Romesh Lal |
| author_sort | Alok Kumar Tiwari |
| collection | DOAJ |
| description | Diverticulosis is rare in jejunum and its unusual presentation of mechanical obstruction is difficult to diagnose pre-operatively. We report a case of a 54-year old male patient who had symptoms of general abdominal pain and vomiting off and on for three years. He had been assessed elsewhere and had received a course of anti-tubercular treatment empirically based on features of recurrent intestinal obstruction due to prevalence of tuberculosis in this region. The patient had presented himself with signs and symptoms of dynamic intestinal obstruction. On examination, the abdomen was found to be swollen with a central abdominal distension and hyperactive bowel sounds. The erect abdominal radiograph showed multiple air-fluid levels and dilated jejunal loops. Following this, the patient underwent an emergency exploratory laparotomy. This revealed multiple jejunal diverticulae, multiple bands and adhesions involving jejunum and proximal ileum. The bands and adhesions were removed and the jejunum was resected along with the inflamed diverticulae. |
| first_indexed | 2024-04-11T18:38:03Z |
| format | Article |
| id | doaj.art-d286874c377146d09fd84ce4bf3e7701 |
| institution | Directory Open Access Journal |
| issn | 2039-7275 2039-7283 |
| language | English |
| last_indexed | 2024-04-11T18:38:03Z |
| publishDate | 2013-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Clinics and Practice |
| spelling | doaj.art-d286874c377146d09fd84ce4bf3e77012022-12-22T04:09:09ZengMDPI AGClinics and Practice2039-72752039-72832013-08-013210.4081/cp.2013.e21248A rare case of multiple jejunal diverticulosis presenting as intestinal obstructionAlok Kumar Tiwari0Vijay Gupta1Priya Hazrah2Romesh Lal3Department of Surgery, Lady Hardinge Medical College, New DelhiDepartment of Surgery, Lady Hardinge Medical College, New DelhiDepartment of Surgery, Lady Hardinge Medical College, New DelhiDepartment of Surgery, Lady Hardinge Medical College, New DelhiDiverticulosis is rare in jejunum and its unusual presentation of mechanical obstruction is difficult to diagnose pre-operatively. We report a case of a 54-year old male patient who had symptoms of general abdominal pain and vomiting off and on for three years. He had been assessed elsewhere and had received a course of anti-tubercular treatment empirically based on features of recurrent intestinal obstruction due to prevalence of tuberculosis in this region. The patient had presented himself with signs and symptoms of dynamic intestinal obstruction. On examination, the abdomen was found to be swollen with a central abdominal distension and hyperactive bowel sounds. The erect abdominal radiograph showed multiple air-fluid levels and dilated jejunal loops. Following this, the patient underwent an emergency exploratory laparotomy. This revealed multiple jejunal diverticulae, multiple bands and adhesions involving jejunum and proximal ileum. The bands and adhesions were removed and the jejunum was resected along with the inflamed diverticulae.https://www.clinicsandpractice.org/index.php/cp/article/view/591jejunal diverticulosissmall bowel obstructionbandslocalized cocoon. |
| spellingShingle | Alok Kumar Tiwari Vijay Gupta Priya Hazrah Romesh Lal A rare case of multiple jejunal diverticulosis presenting as intestinal obstruction Clinics and Practice jejunal diverticulosis small bowel obstruction bands localized cocoon. |
| title | A rare case of multiple jejunal diverticulosis presenting as intestinal obstruction |
| title_full | A rare case of multiple jejunal diverticulosis presenting as intestinal obstruction |
| title_fullStr | A rare case of multiple jejunal diverticulosis presenting as intestinal obstruction |
| title_full_unstemmed | A rare case of multiple jejunal diverticulosis presenting as intestinal obstruction |
| title_short | A rare case of multiple jejunal diverticulosis presenting as intestinal obstruction |
| title_sort | rare case of multiple jejunal diverticulosis presenting as intestinal obstruction |
| topic | jejunal diverticulosis small bowel obstruction bands localized cocoon. |
| url | https://www.clinicsandpractice.org/index.php/cp/article/view/591 |
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