Although jejunal diverticulosis is a rare entity and usually asymptomatic, it may cause chronic symptoms and acute complications. Because of the rarity of the entity, diagnosis is often delayed, resulting in unnecessa...Although jejunal diverticulosis is a rare entity and usually asymptomatic, it may cause chronic symptoms and acute complications. Because of the rarity of the entity, diagnosis is often delayed, resulting in unnecessary morbidity and mort ality. The purpose of this studywas to drawattention to jejunal diverticula and their complications. The medical records of 8 consecutive patients with complica tions due to small-bowel diverticula treated at our department during the past 4 yearswere reviewed. All diverticula were located in the jejunum. Seven patient s had acute complications, 3 patients had an intraabdominal abscess, 2 had free perforationwith diffuse peritonitis, 1 had a bowel occlusion and 1 patient had c oncomitant bleeding and occlusion. One patient presented with chronic symptoms. A preoperative diagnosis of jejunal diverticula, before explorative laparotomy, was not reached in any of the 7 patientswith acute symptoms. In the patient with chronic symptoms, multiple jejunal diverticula complicated by a jejuno-colic f istula and foreign body were found at laparotomy. On patient died of multiorgan failure. Small-bowel diverticulosis is a rare entity, but it should not be rega rded as a clinically insignificant finding. It may be difficult to make a preope rative diagnosis. Patients with incidentally detected proximal jejunal diverticu la, at imaging studies or at laparotomy, warrant close observation and awareness that the diverticula may cause serious complications.展开更多
文摘Although jejunal diverticulosis is a rare entity and usually asymptomatic, it may cause chronic symptoms and acute complications. Because of the rarity of the entity, diagnosis is often delayed, resulting in unnecessary morbidity and mort ality. The purpose of this studywas to drawattention to jejunal diverticula and their complications. The medical records of 8 consecutive patients with complica tions due to small-bowel diverticula treated at our department during the past 4 yearswere reviewed. All diverticula were located in the jejunum. Seven patient s had acute complications, 3 patients had an intraabdominal abscess, 2 had free perforationwith diffuse peritonitis, 1 had a bowel occlusion and 1 patient had c oncomitant bleeding and occlusion. One patient presented with chronic symptoms. A preoperative diagnosis of jejunal diverticula, before explorative laparotomy, was not reached in any of the 7 patientswith acute symptoms. In the patient with chronic symptoms, multiple jejunal diverticula complicated by a jejuno-colic f istula and foreign body were found at laparotomy. On patient died of multiorgan failure. Small-bowel diverticulosis is a rare entity, but it should not be rega rded as a clinically insignificant finding. It may be difficult to make a preope rative diagnosis. Patients with incidentally detected proximal jejunal diverticu la, at imaging studies or at laparotomy, warrant close observation and awareness that the diverticula may cause serious complications.
