True ileal mesenteric diverticula- a rare cause of intestinal obstruction

Shetty NS, Agrawal V, Narasimhaprasad A

Abstract


Jejunal and ileal diverticula (Excluding Meckel’s diverticulum) are an extremely rare entity. Autopsy shows incidence of 0.5- 2.3%. Ileal diverticula consist of about 23.8% of the total cases. Although these diverticula are usually asymptomatic, serious complications such as infection, bowel obstruction, bleeding or perforation can occur. Diagnosis is often delayed due to rarity of the disease. It is often diagnosed incidentally on abdominal exploration. We present a rare case of true ileal diverticula emerging on the mesenteric border, as a cause of intestinal obstruction, in a 50 yrs old male. The patient underwent laparotomy with segmental resection of the ileum. This study is important from the perspective that though ileal diverticulum is a rare disease, it should be considered in the differential diagnosis of acute abdomen, particularly in elderly patients. Key Words: True ileal diverticula, Mesenteric border, Small bowel obstruction.

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References


Steohen R. Grobmyer, Marc J. Gollub, Jinrushia, and Jose G. Guillem. Ilealdiverticilitis: clinical and radiological presentation. Digestive Diseases and Sciences.2004:49:498.

Kouraklis G, Mantas D, GlivanouA,et al. Diverticular disease of the small bowel: report of 27 cases. Int Surg.2001:86(4):235-239

Sabiston text book of surgery 18th edition pp 1320-1321

MonzioCompagnoni B, Rusconi A, Casagrande A, Galimberti A, Sansonetti GM, Valente MG, et al. Small bowel diverticula in adults: clinical and therapeutic features. Reports of 2 cases and review of the literature. Minerva Chir.2001 Aug:56(4):399-403

Yuan-Min Chang, Kuo-Feng Hsu, Chung-Bao Hsieh, Te-Chuan Chang, Ming-Lang Shih. Single ileal diverticulum with perforation and localised mesenteric abscess. J Med Sci 2009:299(1):035-037

Wilcox RD, Shatney CH. Surgical significance of acquired ileal diverticulosis. Am Surg. 1990 Apr;56(4):222-5

Longo WE, Vernava AM 3rd. Clinical implications of jejunoileal diverticular disease. Dis Colon Rectum. 1992 apr;35(4):381-8

Woods K, Williams E, Melvin W, Sharp K. Acquired jejunoileal diverticulosis and its complications: a review of the literature. Am Surg.2008 Sep;74(9):849-54.