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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Maglinte DDT, Chernish SM, DeWeese R, et al.: Acquired jejunoileal diverticular disease: Subject review.Radiology 158:577–580, 1986
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
Meyers MA: Clinical involvement of mesenteric and antimesenteric borders of small bowel loops: Radiologic interpretation of pathologic alterations.Gastrointest Radiol 1:49–58, 1976
Baskin RH, Mayo CW: Jejunal diverticulosis: A clinical study of 87 cases.Surg Clin North Am 32:1185–1196, 1952
Donald JW: Major complications of small bowel diverticula.Ann Surg 190:183–188, 1979
Eckhauser FE, Zelenock GB, Frier DT: Acute complications of jejunoileal pseudodiverticulosis: Surgical complications and management.Am J Surg 138:320–323, 1979
Ghahremani GG: Radiology of Meckel's diverticulum.Crit Rev Diag Imaging 26:1–43, 1986
Maglinte DDT, Elmore MF, Isenberg M, et al.: Meckel's diverticulum: Radiologic demonstration by enteroclysis.AJR 134:925–932, 1980
Freimanis MG, Plaza-Ponte M: Radiologic diagnosis of jejunal diverticulitis.Gastrointest RadioL 13:312–314, 1988
Mayo CW, Baskin RH Jr, Hagedorn AB: Hemorrhagic jejunal diverticulosis.Ann Surg 136:691–700, 1952
Tisando J, Konerding KF, Beachley MC, et al.: Angiographic diagnosis of a bleeding jejunal diverticulum.Gastrointest Radiol 4:291–293, 1979
Dunn V, Nelson JA: Jejunal diverticulosis and chronic pneumoperitoneum.Gastrointest Radiol 4:165–168, 1979
Madura MJ, Craig RM: Duodenal and jejunal diverticula causing a pneumoperitoneum.J Clin Gastroenterol 3:61–63, 1981
Knauer CM, Svoboda AL: Malabsorption and jejunal diverticulosis.Am J Med 44:606–610, 1968
Cooke WT, Cox EV, Fone DJ, et al.: The clinical and metabolic significance of jejunal diverticula.Gut 4:115–117, 1963
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
Krishnamurthy S, Kelly MM, Rohrmann CA Jr, et al.: Jejunal diverticulosis.Gastroenterology 85:538–547, 1983
Altmeier WA, Bryant LR, Wulsin JH: The surgical significance of jejunal diverticulosis.Arch Surg 86:732–741, 1963
Giustra PE, Killoran PJ, Root JA, et al.: Jejunal diverticulitis.Radiology 125:609–611, 1977
Radecki PD, Hricak H, Oh HK, et al.: Jejunal diverticulitis with perforation.J Clin Gastroenterol 3:375–377, 1981
Greenstein S, Jones B, Fishman EK, et al.: Small bowel diverticulitis: CT findings.AJR 147:271–274, 1986
Merine D, Fishman EK, Jones B: CT of the small bowel and mesentery.Radiol Clin North Am 27:707–715, 1989
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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