Lin CH, Hsieh HF, Yu CY, Yu JC, Chan DC, Chen TW, Chen PJ, Liu YC. Diverticulosis of the jejunum with intestinal obstruction: A case report. World J Gastroenterol 2005; 11(34): 5416-5417 [PMID: 16149162 DOI: 10.3748/wjg.v11.i34.5416]
Corresponding Author of This Article
Dr. Yao-Chi Liu, Division of General Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, 325, Sec. 2, Cheng-Kung Road, Neihu 114, Taipei, Taiwan, China. linjh93@yahoo.com.tw
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Chien-Hua Lin, Jyh-Cherng Yu, De-Chuan Chan, Teng-Wei Chen, Yao-Chi Liu, Division of General Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, China
Chih-Yung Yu, Department of Radiology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, China Peng-Jen Chen, Division of Gastroenterology, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, China
Huan-Fa Hsieh, Department of Surgery, Yee-Zen General Hospital, Tauyan, Taiwan, China
Author contributions: All authors contributed equally to the work.
Correspondence to: Dr. Yao-Chi Liu, Division of General Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, 325, Sec. 2, Cheng-Kung Road, Neihu 114, Taipei, Taiwan, China. linjh93@yahoo.com.tw
Telephone: +886-2-87927191 Fax: +886-2-87927273
Received: March 14, 2005 Revised: April 1, 2005 Accepted: April 2, 2005 Published online: September 14, 2005
Abstract
A diagnosis of intestinal diverticulosis is difficult to make pre-operatively because the clinical symptoms are usually non-specific. We report the case of a 70-year-old man who had suffered from three episodes of intestinal obstruction in 1 year. He experienced dull pain and a sensation of fullness over the whole abdomen. The symptoms did not improve after conservative treatment. The presumptive diagnosis was intestinal obstruction, and an exploratory laparotomy found diverticulosis of the proximal jejunum, with an adhesion band formed from the base of one diverticulum. Strangulation of a segment of the jejunum resulted from the internal herniation caused by the band. The band was removed and the proximal jejunum segmentally resected. His postoperative course was uneventful.
