Complicated jejunal diverticulosis: A case report with literature review.
BACKGROUND
Jejunal diverticuli are rare and usually asymptomatic. More commonly, they are seen as incidental findings on CT images, enteroclysis, or during surgery. Complications such as bleeding, perforation, obstruction, malabsorption, diverticulitis, blind loop syndrome, volvulus, and intussusceptions may warrant surgical intervention.


METHODS
We report a case of 47-year old woman who had suffered from intestinal obstruction for 3 days. The symptoms did not improve after conservative treatment. An exploratory laparotomy found small bowel obstruction due to proximal jejunal diverticulum with an adhesion epiploic band. Strangulation of the jejunum resulted from the internal hernia caused by the band. The band was removed and the proximal jejunum segmentally resected. The postoperative course was uneventful.


CONCLUSIONS
Although this phenomenon is rare, we should keep in mind that intestinal diverticulosis may induce intestinal obstructions of different kinds, repeat physical examinations and X-ray films are needed and enteroclysis studies or CT scan are helpful in diagnosis. Surgery is indicated for acute abdominal or repeated intestinal obstruction.
Department of General Surgery, Habib Bourguiba Hospital, Sfax, Tunisia.
Affes
A
Nejmeddine
Abid
A
Bassem
Hammami
H
Mohamed
Ben Ameur
BA
Hazem
Beyrouti
B
Ramez
Beyrouti Mohamed
BM
Issam