[Small bowel diverticula in adults: clinical and therapeutic features. Report of 2 cases and review of the literature].
The true diverticula of the small bowell are a very rare observation in clinical practice; they have a malformative origin and, occasionally, are acquired, contrary to what observed in the colon, where they are frequently an acquired pathology. They can involve the small bowel as a single lesion (Meckel's diverticulum), or as a segmentary disease (duodenal diverticula), or as a diffused diverticulosis. Generally they are asymptomatic and rarely they produce a true pathology. The symptomatic disease is primarily found in pediatric age and it requires a surgical procedure. This makes even more rare the diverticular pathology in the adult. The authors report 1 case of intestinal occlusion due to ileoileo-colic invagination arising from a Meckel's diverticulum and 1 case of intestinal occlusion in presence of a severe and acute diffuse diverticulosis of the small bowell, both in adult patients.
Monzio Compagnoni
B
B
Unità Operativa di Chirurgia Generale I, A. O. San Gerardo, Monza, Milan, Italy.
Rusconi
A
A
Casagrande
A
A
Galimberti
A
A
Sansonetti
G M
GM
Valente
M G
MG
Ferrante
F
F
D000328:Adult; D000368:Aged; D004240:Diverticulum / Q000601:surgery*; D005260:Female; D006801:Humans; D007421:Intestine, Small; D008297:Male