title: Single-trocar transumbilical laparoscopy-assisted management of complicated jejunal diverticula.
abstract: Small-intestinal nonmeckelian diverticula are very uncommon and are considered to be acquired pulsion diverticula. Most of these diverticula are asymptomatic and are simply incidental findings. Complicated-acquired diverticular disease of the jejunum and ileum is a diagnostic dilemma. Small-bowel diverticulum is diagnosed with the aid of radiography techniques, such as small-bowel contrast series or enteroclysis. Laparotomy remains the gold standard for a definite diagnosis of asymptomatic and complicated diverticula, but laparoscopy is also very useful in the diagnosis and treatment of this condition. A surgical approach is the best form of treatment for complicated jejunoileal diverticula. The current report is about a patient who presented with iron deficiency anemia caused by a complicated jejunal diverticulum and managed with single-trocar transumbilical laparoscopy.
authors.affiliation: Second Department of Surgery, Democritus University of Thrace School of Medicine, Alexandroupolis, Greece.
authors.forename: Michail
authors.initials: M
authors.lastname: Pitiakoudis
authors.forename: Sotirios
authors.initials: S
authors.lastname: Botaitis
authors.forename: Konstantinos
authors.initials: K
authors.lastname: Romanidis
authors.forename: Dimitrios
authors.initials: D
authors.lastname: Charalampidis
authors.forename: Alexandros
authors.initials: A
authors.lastname: Polychronides
authors.forename: Constantinos
authors.initials: C
authors.lastname: Simopoulos
mesh_terms: D000740:Anemia / Q000175:diagnosis / Q000209:etiology; D004240:Diverticulum / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D019723:Endoscopes; D005500:Follow-Up Studies; D006471:Gastrointestinal Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007579:Jejunal Diseases / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D057605:Natural Orifice Endoscopic Surgery / Q000379:methods*; D018570:Risk Assessment; D012720:Severity of Illness Index; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome; D014472:Umbilicus