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      • Record: found
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      Small bowel diverticula in elderly patients: a case report and review article

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          Abstract

          Background

          Small intestine diverticula are rare findings that were mostly reported in the elderly population as asymptomatic findings. However, they can also present with a wide range of symptoms (bloating, early satiety, chronic abdominal discomfort, and diarrhea/steatorrhea) or complications (gastrointestinal bleeding, small bowel obstruction, acute diverticulitis, or perforation) which in turn warrant medical treatment or urgent surgical intervention.

          Case presentation

          This is a case report of an 84-year-old female who presented with an acute surgical abdomen. An exploratory laparotomy revealed complicated small bowel diverticula with a jejunal diverticulum perforation, for which a diverticulectomy was performed.

          Conclusions

          Throughout this paper, we are aiming to outweigh the consideration of the possibility of complicated small bowel diverticula as a differential in the evaluation of any acute abdomen, especially in the elderly, which warrants emergency surgical management.

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          Most cited references31

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          Small intestinal nonmeckelian diverticulosis.

          G H Sakorafas, Vania Stafyla, G Tsiotos … (2009)
          Nonmeckelian jejunoileal diverticula (JID) are rare, but potentially clinically significant lesions. Despite recent advances in modern diagnostic modalities, diagnosis of JID may be problematic. Upper gastrointestinal contrast series with small bowel follow-through examination and mainly enteroclysis are the 2 main diagnostic methods. In selected cases (mainly complicated JID), the physician could use other diagnostic methods, such as ultrasound, computed tomography, endoscopy, intraoperative endoscopy, laparoscopy, radiotagged erythrocyte bleeding scans, and selective mesenteric arteriography. JID may be clinically silent or symptomatic causing chronic pain or malabsorption or other acute complications, such as hemorrhage, inflammation, perforation, etc. Laparotomy remains the gold standard for definite diagnosis of asymptomatic and complicated diverticula. Treatment should be individualized. Surgery could be indicated, mainly in symptomatic diverticula. The extent of resection may be a problem, especially in patients with extensive disease involving large parts of the bowel. In these cases, clinical judgment is required from the part of surgeon to avoid short bowel syndrome.
          Article 0 comments Cited 27 times – based on 0 reviews     Review now
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            Jejuno–ileal diverticulitis: Etiopathogenicity, diagnosis and management

            Radwan Kassir, Alexia Boueil-Bourlier, Sylviane Baccot … (2015)
            Highlights • Diagnosis is often difficult and delayed because clinical symptoms are not specific. • The etiopathogenesis of jejuno–ileal diverticulosis is unclear. • Flatulent dyspepsia = epigastric pain abdominal discomfort, flatulence one or two hours after meals. • The extraluminal air develops an arrowhead-like shape surrounded by inflammatory tissue when the diverticulum is perforated. • In the presence of complications, surgical resection with reestablishment of the bowel continuity is the preferred treatment option.
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              Conservative management of perforated duodenal diverticulum: a case report and review of the literature.

              Eva Torres, Javier Padillo, Pedro Pablo Lopez-Casas … (2008)
              Duodenal diverticula are a relatively common condition. They are asymptomatic, unless they become complicated, with perforation being the rarest but most severe complication. Surgical treatment is the most frequently performed approach. We report the case of a patient with a perforated duodenal diverticulum, which was diagnosed early and treated conservatively with antibiotics and percutaneous drainage of secondary retroperitoneal abscesses. We suggest this method could be an acceptable option for the management of similar cases, provided that the patient is in good general condition and without septic signs.
              Article 0 comments Cited 24 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Marah Mansour:
                ORCID: http://orcid.org/0000-0002-6129-5733
                marahmohammad66@gmail.com
                Yazan Abboud: yazanabboud.md@gmail.com
                Racha Bilal: rachahbilal@gmail.com
                Nour Seilin: noorseilin@gmail.com
                Tamim Alsuliman: dr.tameemsoliman@gmail.com
                Fawaz K. Mohamed: Fawazmohamad4321@gmail.com
                Journal
                Journal ID (nlm-ta): BMC Surg
                Journal ID (iso-abbrev): BMC Surg
                Title: BMC Surgery
                Publisher: BioMed Central (London )
                ISSN (Electronic): 1471-2482
                Publication date (Electronic): 18 March 2022
                Publication date PMC-release: 18 March 2022
                Publication date Collection: 2022
                Volume: 22
                Electronic Location Identifier: 101
                Affiliations
                [1 ]Faculty of Medicine, Tartous University, Tartous, Syrian Arab Republic
                [2 ]GRID grid.50956.3f, ISNI 0000 0001 2152 9905, Karsh Division of Gastroenterology and Hepatology, , Cedars-Sinai Medical Center, ; Los Angeles, CA USA
                [3 ]GRID grid.8192.2, ISNI 0000 0001 2353 3326, Faculty of Medicine, , Damascus University, ; Damascus, Syrian Arab Republic
                [4 ]GRID grid.490048.1, ISNI 0000 0004 0571 9583, Department of Internal Medicine, , Damascus Hospital, ; Damascus, Syrian Arab Republic
                [5 ]GRID grid.462844.8, ISNI 0000 0001 2308 1657, Hematology and Cell Therapy Department, Saint-Antoine Hospital, AP-HP, , Sorbonne University, ; Paris, France
                [6 ]Department of General Surgery, Al-Basel Hospital, Tartous, Syrian Arab Republic
                Author information
                http://orcid.org/0000-0002-6129-5733
                Article
                Publisher ID: 1541
                DOI: 10.1186/s12893-022-01541-y
                PMC ID: 8932322
                PubMed ID: 35303837
                SO-VID: fda4dced-25ce-4e1b-b8bc-cfbe15913d18
                Copyright © © The Author(s) 2022
                License:

                Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

                History
                Date received : 30 September 2021
                Date accepted : 2 March 2022
                Categories
                Subject: Case Report
                Custom metadata
                issue-copyright-statement © The Author(s) 2022

                ScienceOpen disciplines: Surgery
                Keywords: small bowel diverticula,complicated small intestinal diverticulosis,jejunal diverticulum perforation,diverticulectomy,case report,review article
                Data availability:
                ScienceOpen disciplines: Surgery
                Keywords: small bowel diverticula, complicated small intestinal diverticulosis, jejunal diverticulum perforation, diverticulectomy, case report, review article

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