A Rare Presentation of Solitary Perforated Jejunal Diverticulum Associated with Lipomatous Jejunal Polyp
Sasikanth Uddagiri *
Department of Surgical Gastroenterology, Nizams Institute of Medical Sciences, India.
Sourav Chowdhury
Department of Surgical Gastroenterology, Nizams Institute of Medical Sciences, India.
Madhulika Muddamsetty
Department of Surgical Gastroenterology, Nizams Institute of Medical Sciences, India.
*Author to whom correspondence should be addressed.
Abstract
Introduction: Small intestinal diverticula are rare; their incidence ranging from 0.05% to 6 %. Duodenal diverticula are the most common type of small intestinal diverticula, followed by diverticula of the jejunum and ileum. Typically, a jejunal diverticulum is usually asymptomatic. Perforation of a jejunal diverticulum is a rare clinical entity. Jejunal diverticulum with lipomatous polyp is a further rare condition.
Case: We report a case of a 70-year-old female who presented with acute abdominal pain, and diagnosed as an abscess resulting from a perforated solitary jejunal diverticulum and associated lipomatous polyp, which was effectively treated with initial resuscitation and definitive surgery - resection and anastomosis of the involved jejunal segment was performed.
Conclusion: Early diagnosis and treatment of complicated jejunal diverticula are crucial; delay in management can cause life-threatening complications and mortality.
Keywords: Jejunum, diverticula, lipomatous polyp, perforation, laparotomy