Anti-mesenteric Jejunal Diverticulosis Presenting as Intestinal Obstruction: A Case Report
Published: 2021-10-25
Page: 686-691
Issue: 2021 - Volume 4 [Issue 2]
Mohammad N. Athamnah
Department of General Surgery, Princess Basma Teaching Hospital, Irbid, Jordan.
Nimah A. Rabai
Department of General Surgery, Princess Basma Teaching Hospital, Irbid, Jordan.
Hussein S. O. Al Azzam
Department of General Surgery, Princess Basma Teaching Hospital, Irbid, Jordan.
Odai S. Sawaqed
Department of General Surgery, Princess Basma Teaching Hospital, Irbid, Jordan.
Mu’taz M. A. Massad
Hashemite University, Zarqa, Jordan.
Mohammad A. K. Alshloul
Department of General Surgery, Princess Basma Teaching Hospital, Irbid, Jordan.
Layth A. K. Alshloul
Department of Radiology, The Royal Medical Services, Amman, Jordan.
Mohammad A. M. Al Mestrihi
Department of General Surgery, Princess Basma Teaching Hospital, Irbid, Jordan.
Amer Abu-Shanab *
Office of Scientific Affairs and Research, King Hussein Cancer Center, Amman, Jordan.
*Author to whom correspondence should be addressed.
Abstract
In this report, we present a 38-year-old male patient who was complaining of a six-day history of progressive abdominal pain with recurrent vomiting and constipation. He was afebrile with normal blood pressure and mild tachycardia, his pain was diffused all over the abdomen but more pronounced centrally and in the left upper quadrant. Laboratory workup revealed leukocytosis and abnormal electrolytes. Imaging with abdominal x-ray, ultrasound and computed tomography (CT) scan showed signs of intestinal obstruction. The patient underwent exploratory laparotomy with resection of a 7 cm segment of jejunum containing a 3 cm diverticulum with a traction band attached to it, located on the anti-mesenteric side, and stenotic segment of jejunum just distal to the site of the diverticulum. A primary end-to-end anastomosis was carried out. Postoperatively, the patient fully recovered with no adverse events or complications.
Keywords: Diverticulum, Jejunal diverticulosis, intestinal obstruction, anti-mesenteric diverticulum