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A Journal on Surgery

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Minerva Chirurgica 2001 August;56(4):399-404

language: Italian

Small bowel diverticula in the adult: clinical and therapeutic aspects. Description of 2 cases and review of the literature

Monzio Compagnoni B., Rusconi A., Casagrande A., Galimberti A., Sansonetti G. M., Valente M. G., Ferrante F


The true diverticula of the small bowell are a very rare observation in clinical practice; they have a malformative origin and, occasionally, are acquired, contrary to what observed in the colon, where they are frequently an acquired pathology. They can involve the small bowel as a single lesion (Meckel's diverticulum), or as a segmentary disease (duodenal diverticula), or as a diffused diverticulosis. Generally they are asymptomatic and rarely they produce a true pathology. The symptomatic disease is primarily found in pediatric age and it requires a surgical procedure. This makes even more rare the diverticular pathology in the adult. The authors report 1 case of intestinal occlusion due to ileoileo-colic invagination arising from a Meckel's diverticulum and 1 case of intestinal occlusion in presence of a severe and acute diffuse diverticulosis of the small bowell, both in adult patients .

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