Complicated small bowel diverticular disease: a case series

Small bowel diverticulosis of the jejunum and ileum is an uncommon finding with a prevalence rate of 0.2% to 1.3% at autopsy and 0.3% to 1.9% on small bowel studies. Diagnosis can be difficult because there are no pathognomonic features or clinical symptoms that are specific for small bowel divertic...

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Bibliographic Details
Published in:BMJ case reports 2017-04, Vol.2017, p.bcr-2017-219699
Main Authors: Karas, Linden, Asif, Mohammed, Chun, Victor, Khan, Farrukh A
Format: Article
Language:English
Subjects:
Abdomen
Aged
Aged, 80 and over
Antibiotics
Black
Blood
Colon
Colonoscopy
Diagnosis, Differential
Diagnostic Imaging
Disease Progression
Diverticular Diseases - diagnosis
Diverticular Diseases - pathology
Diverticular Diseases - therapy
Emergency medical care
Endoscopy
Family medical history
Female
Humans
Ileal Diseases - diagnosis
Ileal Diseases - pathology
Ileal Diseases - therapy
Inflammation
Intestine, Small
Jejunal Diseases - diagnosis
Jejunal Diseases - pathology
Jejunal Diseases - therapy
Laparoscopy
Male
Medical imaging
Ostomy
Pain
Pathology
Rare Disease
Surgery
Ultrasonic imaging
USA/Canada
Vital signs
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Summary:Small bowel diverticulosis of the jejunum and ileum is an uncommon finding with a prevalence rate of 0.2% to 1.3% at autopsy and 0.3% to 1.9% on small bowel studies. Diagnosis can be difficult because there are no pathognomonic features or clinical symptoms that are specific for small bowel diverticulosis. Though rare, it is critical to keep the possibility of small bowel diverticulosis in mind when evaluating cases of malabsorption, chronic abdominal pain, haemorrhage, perforation and intestinal obstruction, especially in patients with connective tissue disorders, a family history of diverticula and a personal history of colonic diverticulosis. Guidelines for the treatment of complicated small bowel diverticulosis are not clearly defined. However, the consensus in treatment is to do a small bowel resection with primary anastomosis. We report three interesting cases of jejunoileal diverticula that presented in an occult manner and later progressed to more emergent manifestations.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2017-219699