Ann Surg Treat Res.  2016 Jun;90(6):346-349. 10.4174/astr.2016.90.6.346.

Uncomplicated jejunal diverticulosis with pneumoperitoneum

• Kwak JY
• Park EH
• Park CS
• Kim JH
• Han MS
• Kwak JH

• KMID: 2164796
• DOI: http://doi.org/10.4174/astr.2016.90.6.346

Abstract

Small bowel diverticulosis is a rare finding within all bowel diverticuloses and jejunal diverticulosis is even rarer. Their relative clinical rarity and varied presentation may make diagnosis both delayed and difficult. We experienced a case of jejunal diverticulosis, which was diagnosed intraoperatively. A 55-year-old woman was admitted to Emergency Department with pneumoperitoneum on plain chest and abdominal film from a local clinic. She was hemodynamically stable with minimal tenderness on the left upper quadrant of the abdomen but no rebound tenderness. At surgery, small bowel torsion and jejunal diverticulosis were confirmed. Over 30 variable sized small bowel diverticula were noted on the mesenteric side of the proximal jejunum. The affected segment of the jejunum was about 180 cm. On exploration, we could not find any perforation site. No postoperative complications were observed, and the patient made a full recovery. Jejunal diverticulosis is rare, but it should not be regarded as insignificant.

Keyword

Diverticulosis; Pneumoperitoneum; Jejunum

MeSH Terms

Abdomen
Diagnosis
Diverticulum*
Emergency Service, Hospital
Female
Humans
Jejunum
Middle Aged
Pneumoperitoneum*
Postoperative Complications
Thorax

Figure

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  Fig. 1 Pneumoperitoneum on plain chest and abdominal film. (A) plain chest film, (B) plain abdominal film.

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  Fig. 2 Abdominal CT showed one clockwise rotation and jejunal diverticulosis. (A) Axial view of CT, (B) Coronal view of CT.

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  Fig. 3 Upon investigation, over 30 variable sized small bowel diverticula were noted—the affected segment of the jejunum was approximately 180 cm long.

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