Isolated Jejunal Diverticulosis an Incidental Finding: A Case Report
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 17, Issue 2
Abstract
Jejunal diverticulosis is a rare entity involving small bowel. The condition is usually asymptomatic and diagnosed incidentally, although it may cause chronic symptoms and acute complications. Because of the rarity of the condition, diagnosis is often delayed. The condition should be suspected in cases of unexplained chronic pain abdomen and malabsorption to avoid unnecessary mortality and morbidity. We are thereby reporting a 40 yr old male patient who presented to surgical emergency with acute abdomen. He used to take NSAIDS for chronic back pain. On exploration thin walled jejunal diverticulae of size 5x5 cm were observed along with a prepyloric gastric perforation. Modified graham’s omental patch repair was done for the gastric perforation, decision for conservative approach was made for diverticulosis segment. During the followup OPD visits, patient underwent upper GI endoscopy, colonoscopy, Barium meal follow through and USG abdomen. Barium meal follow through showed multiple diverticulae, rest all investigations were normal. Patient was followed up for 10 months postoperatively and no complications were observed. Thus we concluded that incidentally diagnosed diverticulosis could be left alone without any intervention, managing chronic symptoms medically.
Authors and Affiliations
Dr Hitesh Kumar1, Dr Satish Sheoran2
Keywords
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- EP ID EP360833
- DOI 10.9790/0853-1702011013
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