Title: Jejunal Diverticulum Presenting As a Midgut Volvulus
Authors: Dr Adith Chinnaswami, Prof. Rekha, Dr Prabhu, Dr Jayakumar, Dr Naresh.D
DOI: https://dx.doi.org/10.18535/jmscr/v5i7.117
Abstract
Jejunal diverticula are rare occurrences. Jejunal diverticulum presenting as a midgut of the volvulus is very rare and requires surgical intervention. Here, we report a 28yr old female who presented to the emergency with complaints of abdominal pain and symptoms of intestinal obstruction. CECT of the abdomen showed a midgut volvulus with no bowel ischemia or superior mesenteric vessel thrombosis. Patient was immediately taken up for laparotomy. The bowel loops were de-rotated and a diverticulum was identified 30cms distal to the duodeno-jejunal flexure. This formed the axis for the rotation of the bowel loops. A resection anastomosis of the segment was done including the diverticulum. Histology showed features suggestive of a false diverticulum. Although a rare entity, ability to diagnose and manage small bowel diverticula and diverticula related complications is a requirement when dealing with any case of intestinal obstruction.
