| UNUSUAL CASE |
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| Year : 2009 | Volume
: 5
| Issue : 4 | Page : 115-117 |
Total laparoscopic management of large complicated jejunal diverticulum
Niraj Garg, Rajesh Khullar, Anil Sharma, Vandana Soni, Manish Baijal, Pradeep Chowbey
Department of Minimal Access, Metabolic and Bariatric Surgery, Sir Ganga Ram Hospital, New Delhi - 110 060, India
Correspondence Address:
Pradeep Chowbey
Department of Minimal Access, Metabolic and Bariatric Surgery, Sir Ganga Ram Hospital, Rajinder Nagar, New Delhi - 110 060
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0972-9941.59311
Jejunoileal diverticulae, also referred to as non-Meckelian diverticulae, are very uncommon. These diverticulae are considered to be acquired pulsion diverticulae and they mostly occur in older people. Their prevalence increases with age. About 80% of these diverticulae occur in jejunum and are usually multiple. Patients with jejunoileal diverticulae present with nonspecific symptoms. The clinical picture of a complicated jejunoileal diverticulae can be confused with other intra-abdominal acute conditions such as appendicitis, cholecystitis, perforated ulcer, etc. Nonmechanical or pseudoobstruction is related to the dyskinesia associated with this condition. The diagnosis is made by a small bowel contrast study, enteroclysis, endoscopy or computed tomography. A surgical approach is the best form of treatment for complicated jejunoileal diverticulae. Laparoscopy is very useful in diagnosing and treating this condition. The current report is about a patient who presented with recurrent subacute intestinal obstruction and was managed by laparoscopy.
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