SINGLE LARGE SACCULATED DUODENOJEJUNAL FLEXURE DIVERTICULUM. CASE REPORT AND CLINICAL IMPACT

Authors

  • G. PARASKEVAS “Aristotle” University of Thessaloniki, Greece
  • N. LAZARIDIS “Aristotle” University of Thessaloniki, Greece
  • N. ANASTASOPOULOS “Aristotle” University of Thessaloniki, Greece
  • S. APOSTOLIDIS “Aristotle” University of Thessaloniki, Greece
  • K. NATSIS “Aristotle” University of Thessaloniki, Greece

Keywords:

JEJUNUM, DIVERTICULUM, DIVERTICULITIS

Abstract

A diverticulum can develop in any portion of the intestine. Jejunal diverticulum is a rare congenital malformation and refers to the presence of a sac-like mucosal herniation through vulnerable points of the intestinal wall. We herein report a case of an unusual finding of a single giant sacculated jejunal diverticulum located at the first part of the jejunum just after the duodenojejunal flexure in a cadaver. Diverticula usually remain entirely asymptomatic and commonly present with bloating and nonspecific symptoms. In many cases diagnosis is incidentally reached during surgery, endoscopy or imaging study for other reason. However, serious complications may develop, such as bowel obstruction and acute perforation, diverticulitis, bleeding, volvulus, anemia, malabsorption. Related clinical and surgical implications are discussed as well. Knowledge and familiarity with this rare entity is valuable to gastroenterologists when assessing abdominal symptoms and general surgeons, as well, when performing exploratory laparotomy. Although jejunal diverticular disease is a rare condition, potential complications could be fatal.

Author Biographies

  • G. PARASKEVAS, “Aristotle” University of Thessaloniki, Greece

    Faculty of Medicine
    Department of Anatomy

  • N. LAZARIDIS, “Aristotle” University of Thessaloniki, Greece

    Faculty of Medicine
    Department of Anatomy

  • N. ANASTASOPOULOS, “Aristotle” University of Thessaloniki, Greece

    Faculty of Medicine
    Department of Anatomy

  • S. APOSTOLIDIS, “Aristotle” University of Thessaloniki, Greece

    Faculty of Medicine
    Department of Anatomy

  • K. NATSIS, “Aristotle” University of Thessaloniki, Greece

    Faculty of Medicine
    Department of Anatomy

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Additional Files

Published

2017-09-30

Issue

Vol. 121 No. 3 (2017): The Medical-Surgical Journal

Section

SURGERY

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