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Scottish Medical Journal Apr 1990Diverticulosis of the appendix is rarely reported. Two cases with this condition, including a unique example of appendiceal diverticulosis presenting at herniorrhaphy,...
Diverticulosis of the appendix is rarely reported. Two cases with this condition, including a unique example of appendiceal diverticulosis presenting at herniorrhaphy, are described. The aetiology of the condition and factors involved in incidental appendicectomy are considered.
Topics: Adult; Aged; Appendicitis; Appendix; Diverticulum; Hernia, Inguinal; Humans; Male
PubMed: 2115687
DOI: 10.1177/003693309003500208 -
World Journal of Gastroenterology Apr 2007While jejunoileal diverticula are rare and often asymptomatic, they may lead to chronic non-specific or acute symptoms. The large majority of complications present with... (Review)
Review
While jejunoileal diverticula are rare and often asymptomatic, they may lead to chronic non-specific or acute symptoms. The large majority of complications present with an acute abdomen similar to appendicitis, cholecystitis or colonic diverticulitis but they also may appear with atypical symptoms. As a result, diagnosis of complicated jejunoileal diverticulosis can be quite difficult, and may solely depend on the result of surgical exploration. In the absence of contra-indications, diagnostic laparoscopy has the benefit of thorough examination of the abdominal contents and helps to reach an absolute diagnosis. Surgical resection of the involved small-bowel segment with primary anastomosis is the preferred treatment in patients with symptomatic complicated jejunoileal diverticular disease. An atypical presentation of complicated jejunal diverticulitis in conjunction with sigmoid diverticulitis diagnosed with laparoscopy and treated with surgical resection is presented.
Topics: Aged, 80 and over; Appendicitis; Cholecystitis; Diagnosis, Differential; Diverticulitis; Diverticulum; Humans; Jejunal Diseases; Laparoscopy; Male; Sigmoid Diseases
PubMed: 17465510
DOI: 10.3748/wjg.v13.i15.2240 -
Annali Italiani Di Chirurgia 1991The diverticulosis of jejunum ileum is an uncommon pathology, that is often revealed just from the complications which it presents. The clinical case reported by the... (Review)
Review
The diverticulosis of jejunum ileum is an uncommon pathology, that is often revealed just from the complications which it presents. The clinical case reported by the Authors describes a woman who reached to admission for a serious condition of shock secondary to a jejunum bleeding diverticulosis and who underwent an intestinal resection. The patient was discharged home on IX p.o. day. From the review of literature results that the incidence of the diverticulosis of jejunum ileum consists of 0.1%-0.11% of all the gastrointestinal's diverticula and the predominance is for the female, especially in the middle age. The diverticulosis of jejunum ileum can be congenital or acquired; the first one came to the antimesenteric side of the intestines, the second one to the mesenteric side of the same. The diverticulosis is generally asymptomatic, but often produces many complications as the intestinal occlusion, secondary to a bridle, a volvulus, an invagination, also if the peritonitis caused by a diverticulosis's perforation represents the most frequent complication of them. Others rarest complications are the massive haemorrhage of diverticula, the stagnant loop syndrome, the malabsorption's syndrome due to lack of B12 vitamin and growth of bacteria within them, the diverticulitis caused by infection. The therapy of all complicated cases of jejunum ileum diverticula is necessarily the surgery only and exactly the intestinal resection.
Topics: Aged; Diverticulum; Emergencies; Female; Gastrointestinal Hemorrhage; Humans; Ileal Diseases; Jejunal Diseases; Shock, Hemorrhagic
PubMed: 1755608
DOI: No ID Found -
La Revue Du Praticien Jan 1999
Review
Topics: Algorithms; Colonic Diseases; Decision Trees; Diagnosis, Differential; Disease Progression; Diverticulum; Humans; Risk Factors
PubMed: 9926720
DOI: No ID Found -
The American Surgeon Sep 2008Jejunoileal diverticulosis is a rare entity. Jejunoileal diverticulosis is not a disease that surgeons see often in clinical practice; however, it should remain on the... (Review)
Review
Jejunoileal diverticulosis is a rare entity. Jejunoileal diverticulosis is not a disease that surgeons see often in clinical practice; however, it should remain on the differential diagnosis for any patient with an acute abdomen or gastrointestinal bleeding of unknown origin. It can present with a wide range of clinical scenarios and when patients experience chronic symptoms such as bloating, abdominal pain, nausea, bacterial overgrowth, or malabsorption, medical therapy is successful in most patients. However, when patients present with acute symptoms of bleeding, inflammation, perforation, or obstruction, surgical resection and primary anastomosis is often the treatment of choice. If patients are asymptomatic, they are better left alone, even when discovered incidentally in the operating room. In closing, the possibility of a patient having jejunal diverticular disease should be suspected whenever the symptoms of obscure abdominal pain, anemia, dilated jejunal loops on abdominal radiographs, a history of colonic diverticuli, and a history of acute appendicitis.
Topics: Adult; Diverticulum; Female; Humans; Ileal Diseases; Jejunal Diseases; Male; Middle Aged
PubMed: 18807676
DOI: No ID Found -
Digestive and Liver Disease : Official... Apr 2014
Topics: Aged; Diverticulum; Duodenal Diseases; Humans; Jejunal Diseases; Male; Malnutrition; Weight Loss
PubMed: 24095668
DOI: 10.1016/j.dld.2013.08.244 -
Revista Espanola de Enfermedades... Sep 2023Unlike acute diverticulitis, giant diverticulum larger than 4 cm is a rare entity with few cases described in the literature. We present a case of a 66-year-old male...
Unlike acute diverticulitis, giant diverticulum larger than 4 cm is a rare entity with few cases described in the literature. We present a case of a 66-year-old male patient diagnosed with colonic diverticulosis. He presented to the emergency department with symptoms of acute abdomen and was diagnosed by CT scan with a 13x14 cm giant diverticulum showing signs of complication. Given the findings, an urgent surgical intervention was decided, and diverticulectomy at the diverticular neck was performed using an endostapler. The etiology of giant diverticula is related to a mechanism of one-way valve at the diverticular neck. Diagnosis poses a challenge as the clinical presentation is nonspecific. The imaging modality of choice is CT scan, which reveals a large cystic image dependent on the sigmoid colon. Definitive treatment is surgical, either by resecting the affected segment including the lesion or by performing a simple diverticulectomy in uncomplicated cases.
Topics: Male; Humans; Aged; Colon, Sigmoid; Diverticulum, Colon; Diverticulum; Tomography, X-Ray Computed; Diagnosis, Differential; Diverticulitis
PubMed: 37539515
DOI: 10.17235/reed.2023.9804/2023 -
Indian Journal of Pathology &... Jul 1994
Review
Topics: Diverticulum; Female; Humans; Intestinal Obstruction; Intestinal Perforation; Jejunal Diseases; Male; Middle Aged
PubMed: 7814068
DOI: No ID Found -
Sovetskaia Meditsina May 1972
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Medicina (Kaunas, Lithuania) Jan 2021: Jejunal diverticulosis and jejunal lipomatosis are uncommon conditions. Usually asymptomatic, they may cause severe complications in some cases. Intussusception is...
: Jejunal diverticulosis and jejunal lipomatosis are uncommon conditions. Usually asymptomatic, they may cause severe complications in some cases. Intussusception is unusual in adults, but when diagnosed swiftly it can be treated surgically, usually with good outcome. : We present a 60-year-old female patient with a history of chronic malnutrition and anemia, complaining of acute abdominal pain, vomiting and diarrhea. Contrast-enhanced abdominal computed tomography (CT) showed intussusception, multiple giant jejunal diverticula and multiple lipomas. The patient underwent urgent surgery, but radical treatment was not possible due to the extent of the diseases. One month later, another surgery was needed due to ileostomy obstruction caused by lipomas. The patient's condition deteriorated due to malnutrition and concomitant metabolic disorders, which eventually led to her demise. : Radical treatment is not always possible in an extensive jejunal disease. Prolonged malnutrition impairs postoperative healing, and therefore surgical or nutritional treatment should be considered in jejunal diverticulosis before the onset of severe complications requiring urgent surgical intervention.
Topics: Diverticulum; Female; Humans; Intestine, Small; Intussusception; Jejunal Diseases; Jejunum; Middle Aged
PubMed: 33525341
DOI: 10.3390/medicina57020116