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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109
Volume 10, Issue 3, April 2014 pp 458-460
A Rare Case of Multiple Perforated Jejunal Diverticulae - Case Report
B. Easwaran 1, G. P. Sekar2, K. Senthil Kumaran3, B. Selvaraj4
1Professor and HOD, 2,4Associate Professor, 3Assisstant Professor, Department of Surgery, SVMCH, Pondicherry, INDIA.
Academic Editor : Dr. Aher K.R.
Jejunal diverticula are very rare with an incidence of less than 0.5% 1 and are usually asymptomatic. The etiology remains unclear. Since they arise from herniation of the mucosa and submucosa through a weak portion of the bowel they are classified as false diverticula of the pulsion type. Complications occur in 10 to 30% of patients (Ref.22). They are chronic abdominal pain, Blind loop syndrome, malabsorption, steatorrhoea, megaloblastic anemia, hemorrhage, diverticulitis, obstruction, abscess formation, intussusception, volvulus23, small bowel obstruction due to enteroliths24,25,26,27 and rarely perforation. Jejunal diverticula have a higher rate of complication than other small bowel diverticula22. Diagnosing complicated acute jejunal diverticulosis based on simple clinical evaluation is extremely difficult35, 36. Here we present a case of multiple jejunal diverticulae with perforations diagnosed during laparotomy and managed by segmental resection and end to end anastomosis.