Diverticular Disease of the Small Intestine

Diverticulosis is a disease of the large intestine. However, diverticulosis of the small intestine is a rare pathological entity. We report a case of diverticular disease of the small intestine.

A 78-year-old man presented a 2-days history of abdominal pain. The pain was of gradual onset, severe and was associated with constipation and vomiting which was bilious. Abdominal examination revealed a distended abdomen with mild epigastric and periumbilical tenderness and an empty rectum on digital rectal examination. Imaging investigations showed features of bowel obstruction evidenced by dilated bowel loops with multiple air fluid levels. Intra-operatively, there were multiple diverticulosis of the jejunum and ileum with fibrous bands attaching the intestines to the anterior abdominal wall and thickened greater omentum. The operative procedure performed was excision of fibrous bands and restoration of luminal patency.

Diverticulosis is a disease of the large intestine and occurrence in the small intestine is quite rare. The jejunum and ileum were involved in the index case report.

More details: https://www.tridhascholars.org/pdfs/diverticular-disease-of-the-small-intestine-a-case-report-joccr-5-1114.pdf

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