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Diverticulitis of the jejunum: Clinical and radiological features

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Abstract

This article describes three cases of jejunal diverticulitis in elderly women, who had presented with pain and tenderness in the periumbilical region or the left side of the abdomen, lowgrade fever, anemia, and weight loss. The findings were initially attributed to possible inflammatory or neoplastic lesions of the colon. However, gastrointestinal barium studies and computed tomography (CT) of the abdomen proved crucial in establishing the preoperative diagnosis of jejunal diverticulitis and its associated abscess in the adjacent mesentery or abdominal wall. The clinical and radiological manifestations of this uncommon entity are herein presented along with a brief review of the pertinent literature.

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References

  1. Maglinte DDT, Chernish SM, DeWeese R, et al.: Acquired jejunoileal diverticular disease: Subject review.Radiology 158:577–580, 1986

    PubMed  Google Scholar 

  2. Salmonowitz E, Wittich G, Hajek P, et al.: Detection of intestinal diverticula by double-contrast small bowel enema: Differentiation from other intestinal diverticula.Gastrointest Radiol 8:271–278, 1983

    PubMed  Google Scholar 

  3. Meyers MA: Clinical involvement of mesenteric and antimesenteric borders of small bowel loops: Radiologic interpretation of pathologic alterations.Gastrointest Radiol 1:49–58, 1976

    PubMed  Google Scholar 

  4. Baskin RH, Mayo CW: Jejunal diverticulosis: A clinical study of 87 cases.Surg Clin North Am 32:1185–1196, 1952

    Google Scholar 

  5. Donald JW: Major complications of small bowel diverticula.Ann Surg 190:183–188, 1979

    PubMed  Google Scholar 

  6. Eckhauser FE, Zelenock GB, Frier DT: Acute complications of jejunoileal pseudodiverticulosis: Surgical complications and management.Am J Surg 138:320–323, 1979

    PubMed  Google Scholar 

  7. Ghahremani GG: Radiology of Meckel's diverticulum.Crit Rev Diag Imaging 26:1–43, 1986

    Google Scholar 

  8. Maglinte DDT, Elmore MF, Isenberg M, et al.: Meckel's diverticulum: Radiologic demonstration by enteroclysis.AJR 134:925–932, 1980

    PubMed  Google Scholar 

  9. Freimanis MG, Plaza-Ponte M: Radiologic diagnosis of jejunal diverticulitis.Gastrointest RadioL 13:312–314, 1988

    PubMed  Google Scholar 

  10. Mayo CW, Baskin RH Jr, Hagedorn AB: Hemorrhagic jejunal diverticulosis.Ann Surg 136:691–700, 1952

    PubMed  Google Scholar 

  11. Tisando J, Konerding KF, Beachley MC, et al.: Angiographic diagnosis of a bleeding jejunal diverticulum.Gastrointest Radiol 4:291–293, 1979

    PubMed  Google Scholar 

  12. Dunn V, Nelson JA: Jejunal diverticulosis and chronic pneumoperitoneum.Gastrointest Radiol 4:165–168, 1979

    PubMed  Google Scholar 

  13. Madura MJ, Craig RM: Duodenal and jejunal diverticula causing a pneumoperitoneum.J Clin Gastroenterol 3:61–63, 1981

    Google Scholar 

  14. Knauer CM, Svoboda AL: Malabsorption and jejunal diverticulosis.Am J Med 44:606–610, 1968

    PubMed  Google Scholar 

  15. Cooke WT, Cox EV, Fone DJ, et al.: The clinical and metabolic significance of jejunal diverticula.Gut 4:115–117, 1963

    PubMed  Google Scholar 

  16. Goldstein F, Wirts CW, Salen G, Mandle RJ: Diverticulosis of the small intestine: Clinical, bactériologic and metabolic observations in a group of seven patients.Am J Dig Dis 14:170–181, 1969

    PubMed  Google Scholar 

  17. Krishnamurthy S, Kelly MM, Rohrmann CA Jr, et al.: Jejunal diverticulosis.Gastroenterology 85:538–547, 1983

    PubMed  Google Scholar 

  18. Altmeier WA, Bryant LR, Wulsin JH: The surgical significance of jejunal diverticulosis.Arch Surg 86:732–741, 1963

    PubMed  Google Scholar 

  19. Giustra PE, Killoran PJ, Root JA, et al.: Jejunal diverticulitis.Radiology 125:609–611, 1977

    PubMed  Google Scholar 

  20. Radecki PD, Hricak H, Oh HK, et al.: Jejunal diverticulitis with perforation.J Clin Gastroenterol 3:375–377, 1981

    PubMed  Google Scholar 

  21. Greenstein S, Jones B, Fishman EK, et al.: Small bowel diverticulitis: CT findings.AJR 147:271–274, 1986

    PubMed  Google Scholar 

  22. Merine D, Fishman EK, Jones B: CT of the small bowel and mesentery.Radiol Clin North Am 27:707–715, 1989

    PubMed  Google Scholar 

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Benya, E.C., Ghahremani, G.G. & Brosnan, J.J. Diverticulitis of the jejunum: Clinical and radiological features. Gastrointest Radiol 16, 24–28 (1991). https://doi.org/10.1007/BF01887297

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  • DOI: https://doi.org/10.1007/BF01887297

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