Complicated small bowel diverticular disease: A case series

Linden Karas, Mohammed Asif, Victor Chun, Farrukh A. Khan

Research output: Contribution to journalArticlepeer-review

Abstract

Small bowel diverticulosis of the jejunum and ileum is an uncommon finding with a prevalence rate of 0.2% to 1.3% at autopsy and 0.3% to 1.9% on small bowel studies. Diagnosis can be difficult because there are no pathognomonic features or clinical symptoms that are specific for small bowel diverticulosis. Though rare, it is critical to keep the possibility of small bowel diverticulosis in mind when evaluating cases of malabsorption, chronic abdominal pain, haemorrhage, perforation and intestinal obstruction, especially in patients with connective tissue disorders, a family history of diverticula and a personal history of colonic diverticulosis. Guidelines for the treatment of complicated small bowel diverticulosis are not clearly defined. However, the consensus in treatment is to do a small bowel resection with primary anastomosis. We report three interesting cases of jejunoileal diverticula that presented in an occult manner and later progressed to more emergent manifestations.

Original languageEnglish (US)
Article numberbcr-2017-219699
JournalBMJ case reports
Volume2017
DOIs
StatePublished - 2017
Externally publishedYes

Keywords

  • Endoscopy
  • GI bleeding
  • Gastroenterology
  • Gastrointestinal surgery
  • Small intestine

ASJC Scopus subject areas

  • Medicine(all)

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