DIFFERENT CLINICAL PRESENTATION OF JEJUNAL DIVERTICULITIS: REPORT OF TWO CASES
EAES Academy. CESTARO G. 07/05/22; 363171; P216
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Abstract
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BACKGROUND
Small bowel diverticulosis is a rare clinical finding and its complication, such as diverticulitis, can represent a diagnostic challenge that have various clinical patterns. Hereby we present two cases we treated at our Surgical Department (UOC Chirurgia Generale - ULSS5 POLESANA-Adria).
CASES REPORT
We report two surgical cases: a male adult patient (62 years old) and a female old patient (94 years old) presented at our department with two different surgical patterns, i.e. bowel perforation and bowel obstruction. After emergency explorative laparotomy, we did diagnosis of jejunal diverticulitis and we performed bowel resection and manual anastomosis in both cases, following by uneventful postoperative course and discharge.
DISCUSSION
Jejuno-ileal diverticulosis is uncommon and it was firstly described by Somerling in 1794. Most cases are asymptomatic, incidentally diagnosed during a laparoscopy / laparotomy and they are related to an abnormal neuromotor innervation that leads to dyskinesia and diverticula formation usually on the mesenteric side.
Conclusion:
Emergency laparoscopy/laparotomy and affected bowel resection are mandatory to treat this challenging and rare pathological condition with efficacy and safety 13. We treated two cases in 8 months, both patients had radiological findings not suggestive of jejuno-ileal diverticulitis.
Small bowel diverticulosis is a rare clinical finding and its complication, such as diverticulitis, can represent a diagnostic challenge that have various clinical patterns. Hereby we present two cases we treated at our Surgical Department (UOC Chirurgia Generale - ULSS5 POLESANA-Adria).
CASES REPORT
We report two surgical cases: a male adult patient (62 years old) and a female old patient (94 years old) presented at our department with two different surgical patterns, i.e. bowel perforation and bowel obstruction. After emergency explorative laparotomy, we did diagnosis of jejunal diverticulitis and we performed bowel resection and manual anastomosis in both cases, following by uneventful postoperative course and discharge.
DISCUSSION
Jejuno-ileal diverticulosis is uncommon and it was firstly described by Somerling in 1794. Most cases are asymptomatic, incidentally diagnosed during a laparoscopy / laparotomy and they are related to an abnormal neuromotor innervation that leads to dyskinesia and diverticula formation usually on the mesenteric side.
Conclusion:
Emergency laparoscopy/laparotomy and affected bowel resection are mandatory to treat this challenging and rare pathological condition with efficacy and safety 13. We treated two cases in 8 months, both patients had radiological findings not suggestive of jejuno-ileal diverticulitis.
BACKGROUND
Small bowel diverticulosis is a rare clinical finding and its complication, such as diverticulitis, can represent a diagnostic challenge that have various clinical patterns. Hereby we present two cases we treated at our Surgical Department (UOC Chirurgia Generale - ULSS5 POLESANA-Adria).
CASES REPORT
We report two surgical cases: a male adult patient (62 years old) and a female old patient (94 years old) presented at our department with two different surgical patterns, i.e. bowel perforation and bowel obstruction. After emergency explorative laparotomy, we did diagnosis of jejunal diverticulitis and we performed bowel resection and manual anastomosis in both cases, following by uneventful postoperative course and discharge.
DISCUSSION
Jejuno-ileal diverticulosis is uncommon and it was firstly described by Somerling in 1794. Most cases are asymptomatic, incidentally diagnosed during a laparoscopy / laparotomy and they are related to an abnormal neuromotor innervation that leads to dyskinesia and diverticula formation usually on the mesenteric side.
Conclusion:
Emergency laparoscopy/laparotomy and affected bowel resection are mandatory to treat this challenging and rare pathological condition with efficacy and safety 13. We treated two cases in 8 months, both patients had radiological findings not suggestive of jejuno-ileal diverticulitis.
Small bowel diverticulosis is a rare clinical finding and its complication, such as diverticulitis, can represent a diagnostic challenge that have various clinical patterns. Hereby we present two cases we treated at our Surgical Department (UOC Chirurgia Generale - ULSS5 POLESANA-Adria).
CASES REPORT
We report two surgical cases: a male adult patient (62 years old) and a female old patient (94 years old) presented at our department with two different surgical patterns, i.e. bowel perforation and bowel obstruction. After emergency explorative laparotomy, we did diagnosis of jejunal diverticulitis and we performed bowel resection and manual anastomosis in both cases, following by uneventful postoperative course and discharge.
DISCUSSION
Jejuno-ileal diverticulosis is uncommon and it was firstly described by Somerling in 1794. Most cases are asymptomatic, incidentally diagnosed during a laparoscopy / laparotomy and they are related to an abnormal neuromotor innervation that leads to dyskinesia and diverticula formation usually on the mesenteric side.
Conclusion:
Emergency laparoscopy/laparotomy and affected bowel resection are mandatory to treat this challenging and rare pathological condition with efficacy and safety 13. We treated two cases in 8 months, both patients had radiological findings not suggestive of jejuno-ileal diverticulitis.
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