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Mohi, Rommel, Moudgil, Ashish, Bhatia, Suresh, Seth, Kaushal, Kaur, Tajinder. (1395). Complicated Jejunal Diverticulosis: Small Bowel Volvulus with Obstruction. سامانه مدیریت نشریات علمی, 41(6), 548-551.
Rommel Singh Mohi; Ashish Moudgil; Suresh Kumar Bhatia; Kaushal Seth; Tajinder Kaur. "Complicated Jejunal Diverticulosis: Small Bowel Volvulus with Obstruction". سامانه مدیریت نشریات علمی, 41, 6, 1395, 548-551.
Mohi, Rommel, Moudgil, Ashish, Bhatia, Suresh, Seth, Kaushal, Kaur, Tajinder. (1395). 'Complicated Jejunal Diverticulosis: Small Bowel Volvulus with Obstruction', سامانه مدیریت نشریات علمی, 41(6), pp. 548-551.
Mohi, Rommel, Moudgil, Ashish, Bhatia, Suresh, Seth, Kaushal, Kaur, Tajinder. Complicated Jejunal Diverticulosis: Small Bowel Volvulus with Obstruction. سامانه مدیریت نشریات علمی, 1395; 41(6): 548-551.

Complicated Jejunal Diverticulosis: Small Bowel Volvulus with Obstruction

Iranian Journal of Medical Sciences
مقاله 12، دوره 41، شماره 6، بهمن 2016، صفحه 548-551    اصل مقاله (309.24 K)
نوع مقاله: Case Report(s)
نویسندگان
Rommel Singh Mohi1؛ Ashish Moudgil* 1؛ Suresh Kumar Bhatia1؛ Kaushal Seth1؛ Tajinder Kaur2
1Department of Surgery, Govt. Medical College and Rajindra Hospital Patiala, Punjab, India
2Intern Govt. Medical College and Rajindra Hospital Patiala, Punjab, India
چکیده
he incidence of the diverticulum of the small bowel varies from 0.2-1.3% in autopsy studies to 2.3% when assessed on enteroclysis. It occurs mostly in patients in the 6th decade of their life. Of all the small bowel diverticuli, jejunal diverticulum is the most common type. This rare entity is usually asymptomatic. However, they may cause chronic non-specific symptoms for a long period of time like dyspepsia, chronic postprandial pain, nausea, vomiting, borborgymi, alternating diarrhoea and constipation, weight loss, anaemia, steatorrhea or rarely lead to complications like haemorrhage, obstruction, perforation. Obstruction can be due to enterolith, adhesions, intussusception, and volvulus. The condition is difficult to diagnose because patients are generally presented with symptoms that mimic other diseases. It is important for clinicians to have awareness of this entity. Here, we present a case of multiple jejunal diverticuli with a history of repeated attacks of diverticulitis over past 20 years, which were misdiagnosed and now presented with intestinal obstruction due to volvulus of the involved segment along with mesentery around its axis. Resection of the diverticuli segment of jejunum was done with end-to-end jejuno-jejunal anastomosis. The patient is asymptomatic since 10 months of follow-up.
کلیدواژه‌ها
Diverticulitis؛ Small intestinal diverticulosis؛ Intestinal obstruction؛ Intestinal volvulus؛ Laparotomy
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