A CASE OF MULTIPLE JEJUNAL DIVERTICULA IN A PATIENT PRESENTING WITH SMALL BOWEL OBSTRUCTION - A RARE FINDING

DR. ARNAB MANDAL; DR. JISHAN ALI; DR. PRADIPTA JANA; DR. ARINDAM GHOSH; DR. DEBOJYOTI SASMAL

Volume : VII, Issue : IV, April - 2018

A CASE OF MULTIPLE JEJUNAL DIVERTICULA IN A PATIENT PRESENTING WITH SMALL BOWEL OBSTRUCTION - A RARE FINDING

Dr. Arnab Mandal, Dr. Jishan Ali, Dr. Pradipta Jana, Dr. Arindam Ghosh, Dr. Debojyoti Sasmal

Abstract :

JEJUNAL DIVERTICULUM IS A RARE FINDING AND IN MOST OF THE CASES ARE ASYMPTOMATIC.MOSTLY PRESENTS AS AN SURPRISING FINDING DURING LAPAROTOMY AND ON AUTOPSY.CHRONIC NON–SPECIFIC PAIN ABDOMEN(1), UNEXPLAINED MALNUTRITION MAY SOMETIMES BE THE PRESENTING SYMPTOMS.BUT RARELY IT MAY PRESENT AS GASTROINTESTINAL HAEMORRHAGE, PERITONITIS,OBSTRUCTION.

WE PRESENT A 54 YR. OLD MAN DAILY LABOUR BY PROFESSION VISITED OUR EMERGENCY HERE AT B S MEDICAL COLLEGE WITH FEATURES OF SMALL BOWEL OBSTRUCTION.ON LAPAROTOMY ALONG WITH BAND OBSTRUCTION OF PROXIMAL ILEUM WITH UNHEALTHY SEGMENT WE NOTED JEJUNAL DIVERTICULA WHICH ARE MULTIPLE IN NUMBER AND DISTRIBUTED THROUGH OUT JEJUNAL LENGTH.DIVERTICULAS LEFT UNTREATED AS THEY WERE MULTIPLE AND NOT CAUSING ANY OBSTRUCTION.THE PATIENT IS DOING WELL IN 6 MONTHS FOLLOW–UP.