Jejunal Diverticulosis: Presenting As Peritonitis

Jejunal Diverticulosis: Presenting As Peritonitis

  • Vikas Chalotra Assistant Professor, General Surgery, GGSMC&H, Faridkot
  • Puneet Bansal PG Resident, General Surgery , GGSMC&H , Faridkot
  • Natasha Nuna PG Resident, General Surgery , GGSMC&H , Faridkot
  • Shifali Joshi PG Resident, General Surgery , GGSMC&H , Faridkot
  • Sarbjeet Singh Associate Professor, General Surgery, GGSMC&H , Faridkot
  • Aman Bharti Assistant Professor, General Medicine , GGSMC&H, Faridkot
Keywords: Jejunal diverticulosis, Small bowel diverticulosis, Acute abdomen, Diverticular perforation

Abstract

Jejunal diverticular perforation is a rare complication of jejunal diverticular disease and few cases have been reported in the literature. Jejunal diverticula have a prevalence of approximately 1% in the general population. Pathophysiology of chronic symptoms is related to either intestinal dyskinesia or bacterial overgrowth from blind loop syndrome due to stasis in diverticular lumen. Patients may develop malabsorption, steatorrhea, and megaloblasticanaemia from vitamin B12 deficiency. Conventional enteroclysis and CT enteroclysis is beneficial for diagnosis of jejunal diverticular disease. Jejunal diverticular perforation is very rare. Clinically, the diagnosis is challenging and mimics with other causes of acute abdomen. Presentation varies widely from asymptomatic to non specific symptoms to acute abdomen with catastrophic consequences. Here, we present a rare case of jejunal diverticular perforation.

Published
2019-10-19
How to Cite
Vikas Chalotra, Puneet Bansal, Natasha Nuna, Shifali Joshi, Sarbjeet Singh, & Aman Bharti. (2019). Jejunal Diverticulosis: Presenting As Peritonitis. Asian Journal of Medical Research, 8(3), SG18-SG20. Retrieved from https://aijournals.com/index.php/ajmr/article/view/1051