CASE REPORT   

Chirurgia 2022 December;35(6):390-2

DOI: 10.23736/S0394-9508.22.05407-9

Copyright © 2022 EDIZIONI MINERVA MEDICA

lingua: Inglese

Different clinical presentation of jejunal diverticulitis: report of two cases

Giovanni CESTARO ✉, Fabio CAVALLO, Alireza AZABDAFTARI, Luisella FOGATO

Unit of General Surgery, S. Maria Regina degli Angeli Hospital, ULSS5 Polesana, Adria, Rovigo, Italy

Small bowel diverticulosis is a rare clinical finding and its complication, such as diverticulitis, can represent a diagnostic challenge that have various clinical patterns. Hereby we present two cases we treated at our Department of Surgery. We report two surgical cases: a male adult patient (62 years old) and a female old patient (94 years old) presented at our department with two different surgical patterns, i.e., bowel perforation and bowel obstruction. After emergency explorative laparotomy, we did diagnosis of jejunal diverticulitis and we performed bowel resection and manual anastomosis in both cases, following by uneventful postoperative course and discharge. Jejuno-ileal diverticulosis is uncommon, and it was firstly described by Somerling in 1794. Most cases are asymptomatic, incidentally diagnosed during a laparoscopy/laparotomy and they are related to an abnormal neuromotor innervation that leads to dyskinesia and diverticula formation usually on the mesenteric side. Emergency laparoscopy/laparotomy and affected bowel resection are mandatory to treat this challenging and rare pathological condition with efficacy and safety. We treated two cases in 8 months, both patients had radiological findings not suggestive of jejuno-ileal diverticulitis.

KEY WORDS: Diverticulitis; Jejunum; Case reports