Copyright
©2008 The WJG Press and Baishideng. All rights reserved.
World J Gastroenterol. Oct 14, 2008; 14(38): 5916-5919
Published online Oct 14, 2008. doi: 10.3748/wjg.14.5916
Published online Oct 14, 2008. doi: 10.3748/wjg.14.5916
Jejunal diverticulosis is not always a silent spectator: A report of 4 cases and review of the literature
Vishal Arun Patel, Helen Jefferis, Ben Spiegelberg, Quamar Iqbal, Ashish Prabhudesai, Simon Harris, Department of Colorectal Surgery, Hillingdon Hospital, Uxbridge, Middlesex UB8 3NN, United Kingdom
Author contributions: Patel VA contributed most to this work; Patel VA, Jefferis H and Iqbal Q reviewed the cases; Patel VA, Spiegelberg B and Harris S made the literature review; Patel VA and Prabhudesai A wrote the paper.
Correspondence to: Vishal Arun Patel, Department of Colorectal Surgery, Hillingdon Hospital, 4 Potter Street, Northwood, Middlesex HA6 1QE, United Kingdom. vish079@hotmail.com
Telephone: +44-19-23836418 Fax: +44-19-23820547
Received: January 31, 2008
Revised: June 6, 2008
Accepted: July 13, 2008
Published online: October 14, 2008
Revised: June 6, 2008
Accepted: July 13, 2008
Published online: October 14, 2008
Abstract
Jejunal diverticulosis (JD) is a rare clinical entity. The potential complications of this condition are discussed here through a series of cases presented to our centre. A retrospective analysis of four cases, which were diagnosed and treated, was performed. These included two cases of gastrointestinal haemorrhage, one case of perforation and one case of enterolith obstruction. All of these cases were secondary to jejunal diverticulosis and treated surgically. This was accompanied by a literature search to identify the different modalities for diagnosis and treatment of this condition. JD is rare and may lead to a diagnostic delay. Awareness of the wide spectrum of potential complications can prevent this delay.
Keywords: Jejunum; Diverticulosis; Gastrointestinal; Haemorrhage; Perforation; Enterolith; Obstruction