title: A rare case of large jejunal diverticulum presenting as intestinal obstruction due to small bowel volvulus.
abstract: Jejunal diverticula are quite rare. Furthermore, small bowel diverticular disease resulting in volvulus can lead to complications necessitating surgical intervention. In this manuscript, we report a case of large sacculated jejunal diverticulum causing small bowel volvulus in a 40-year male. The jejunal mesentery at the base of the diverticulum was adhered to the terminal ileal mesentery forming a narrow base and complete small bowel going into volvulus by rotating around the narrow base. This case highlights a large jejunal diverticulum causing small bowel volvulus as an uncommon mechanism of complete small bowel volvulus. Although a rare entity, familiarity with jejunal diverticular disease, its complications and its management should be part of every surgeon's base of knowledge when considering abdominal pathology.
authors.affiliation: Department of Surgery, GR Medical College, Gwalior, India.
authors.forename: Ashish
authors.initials: A
authors.lastname: Shrivastava
authors.affiliation: Department of Surgery, GR Medical College, Gwalior, India.
authors.forename: Yogeshwar Prasad
authors.initials: YP
authors.lastname: Shukla
authors.affiliation: Department of Surgery, GR Medical College, Gwalior, India.
authors.forename: Achal
authors.initials: A
authors.lastname: Gupta
authors.affiliation: Department of Physiology, GR Medical College, Gwalior, India.
authors.forename: Jyoti
authors.initials: J
authors.lastname: Shrivastava
keywords: Diverticulum; Intestinal obstruction; Jejunum; Volvulus