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10.1016/j.ijscr.2024.109549
Title: | Case report : Jejunal diverticulosis with chronic interstitial and mesenteric adhesions, chronic mesenteric volvulus, and decompensated small-bowel obstruction |
Authors: | Vanka, Sarlote Agate Rudzitis, Janis Skadins, Ingus Kroica, Juta Miluna-Meldere, Sintija Dreijers, Janis Department of Biology and Microbiology |
Keywords: | Case report;Diagnostic laparoscopy;Diverticulosis;Jejunum;Obstruction, mesenteric volvulus;3.2 Clinical medicine;1.1. Scientific article indexed in Web of Science and/or Scopus database;Surgery |
Issue Date: | Apr-2024 |
Citation: | Vanka , S A , Rudzitis , J , Skadins , I , Kroica , J , Miluna-Meldere , S & Dreijers , J 2024 , ' Case report : Jejunal diverticulosis with chronic interstitial and mesenteric adhesions, chronic mesenteric volvulus, and decompensated small-bowel obstruction ' , International Journal of Surgery Case Reports , vol. 117 , 109549 . https://doi.org/10.1016/j.ijscr.2024.109549 |
Abstract: | Introduction: Jejunal diverticulosis has not gained significant attention because of its rarity and typically asymptomatic course as well as the relative diagnostic inaccessibility of the jejunum. This report presents a rare case of jejunal diverticulosis complicated with chronic interstitial and mesenteric adhesions, chronic mesenteric volvulus, and decompensated small-bowel obstruction. Presentation of case: An 84-year-old man was admitted to the emergency room with a 24-h history of acute colicky abdominal pain. He denied other signs or symptoms. The preoperative diagnosis based on physical and radiologic evaluations was challenging, and only diagnostic laparoscopy revealed extensive small-bowel diverticulosis. Midline laparotomy was performed as definitive surgery, revealing diverticulosis in the proximal 2-m section of the jejunum, starting approximately 20 cm from Treitz's ligament; the affected section was resected. The postoperative recovery was excellent. The histopathologic report confirmed substantial jejunal diverticulosis with chronic fibrosis, adhesions, and strictures. Discussion: Histopathologic evaluation is necessary because tumors can be misdiagnosed as diverticula. This case report should serve as a reminder for surgeons to be cognizant of the signs of uncommon conditions, such as jejunal diverticulosis. Conclusion: Albeit rare, jejunal diverticulosis should be considered in the differential diagnosis of acute abdomen. |
Description: | Publisher Copyright: © 2024 The Authors |
DOI: | 10.1016/j.ijscr.2024.109549 |
ISSN: | 2210-2612 |
Appears in Collections: | Research outputs from Pure / Zinātniskās darbības rezultāti no ZDIS Pure |
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Case_report_Jejunal_diverticulosis_with_chronic_interstitial_and_mesenteric_adhesions.pdf | 1.46 MB | Adobe PDF | View/Open |
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