Acute Jejenal Diverticulitis: Case Report of Uncommon Presentation

Hamza Merza Abdulla; Ronald Erastus Samuel; Joseph Marc Shabot

doi:doi:10.11648/j.ajim.20210901.13

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Acute Jejenal Diverticulitis: Case Report of Uncommon Presentation

Hamza Merza Abdulla, Ronald Erastus Samuel, Joseph Marc Shabot

Published in American Journal of Internal Medicine (Volume 9, Issue 1)

Received: 27 November 2020 Accepted: 12 January 2021 Published: 22 January 2021

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Abstract

Jejunal diverticulitis is a rare condition and often difficult to diagnose. We report a case of 68-year–old man with a history of sigmoid diverticulitis who presented to the emergency room with a one day history of acute abdominal pain of the left lower quadrant. Initial CT of the Abdomen and Pelvis revealed ileus vs early/partial small bowel obstruction mildly distended loops of the small bowel with decompressed loops of small bowel in the right lower quadrant with no distinct transition point. The patient was treated with antibiotics for presumed gastroenteritis. However, given persistent symptoms and unclear etiology a CT enterography was ordered and demonstrated jejunal diverticulitis with microperforation and a significant phlegmon surrounding the inflamed diverticulum. The patient was treated with ciprofloxacin and metronidazole and reported complete resolution of symptoms after the course of antibiotics. Jejunal diverticula are extremely rare with an incidence of 0.06% to 1.3%. Prior case reports described some of its complications including bleeding, perforation and ulceration. Jejunal diverticulitis should be in the differential diagnosis of acute abdomen especially in patients with unclear etiology. This condition can be missed by contrasted CT of the abdomen and dedicated small bowel imaging such as CT Enterography can assist making the diagnosis.

Published in	American Journal of Internal Medicine (Volume 9, Issue 1)
DOI	10.11648/j.ajim.20210901.13
Page(s)	17-20
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Jejunum, Diverticulitis, Perforation

References

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APA Style

Hamza Merza Abdulla, Ronald Erastus Samuel, Joseph Marc Shabot. (2021). Acute Jejenal Diverticulitis: Case Report of Uncommon Presentation. American Journal of Internal Medicine, 9(1), 17-20. https://doi.org/10.11648/j.ajim.20210901.13

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ACS Style

Hamza Merza Abdulla; Ronald Erastus Samuel; Joseph Marc Shabot. Acute Jejenal Diverticulitis: Case Report of Uncommon Presentation. Am. J. Intern. Med. 2021, 9(1), 17-20. doi: 10.11648/j.ajim.20210901.13

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AMA Style

Hamza Merza Abdulla, Ronald Erastus Samuel, Joseph Marc Shabot. Acute Jejenal Diverticulitis: Case Report of Uncommon Presentation. Am J Intern Med. 2021;9(1):17-20. doi: 10.11648/j.ajim.20210901.13

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@article{10.11648/j.ajim.20210901.13,
  author = {Hamza Merza Abdulla and Ronald Erastus Samuel and Joseph Marc Shabot},
  title = {Acute Jejenal Diverticulitis: Case Report of Uncommon Presentation},
  journal = {American Journal of Internal Medicine},
  volume = {9},
  number = {1},
  pages = {17-20},
  doi = {10.11648/j.ajim.20210901.13},
  url = {https://doi.org/10.11648/j.ajim.20210901.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajim.20210901.13},
  abstract = {Jejunal diverticulitis is a rare condition and often difficult to diagnose. We report a case of 68-year–old man with a history of sigmoid diverticulitis who presented to the emergency room with a one day history of acute abdominal pain of the left lower quadrant. Initial CT of the Abdomen and Pelvis revealed ileus vs early/partial small bowel obstruction mildly distended loops of the small bowel with decompressed loops of small bowel in the right lower quadrant with no distinct transition point. The patient was treated with antibiotics for presumed gastroenteritis. However, given persistent symptoms and unclear etiology a CT enterography was ordered and demonstrated jejunal diverticulitis with microperforation and a significant phlegmon surrounding the inflamed diverticulum. The patient was treated with ciprofloxacin and metronidazole and reported complete resolution of symptoms after the course of antibiotics. Jejunal diverticula are extremely rare with an incidence of 0.06% to 1.3%. Prior case reports described some of its complications including bleeding, perforation and ulceration. Jejunal diverticulitis should be in the differential diagnosis of acute abdomen especially in patients with unclear etiology. This condition can be missed by contrasted CT of the abdomen and dedicated small bowel imaging such as CT Enterography can assist making the diagnosis.},
 year = {2021}
}

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TY - JOUR
T1 - Acute Jejenal Diverticulitis: Case Report of Uncommon Presentation
AU - Hamza Merza Abdulla
AU - Ronald Erastus Samuel
AU - Joseph Marc Shabot
Y1 - 2021/01/22
PY - 2021
N1 - https://doi.org/10.11648/j.ajim.20210901.13
DO - 10.11648/j.ajim.20210901.13
T2 - American Journal of Internal Medicine
JF - American Journal of Internal Medicine
JO - American Journal of Internal Medicine
SP - 17
EP - 20
PB - Science Publishing Group
SN - 2330-4324
UR - https://doi.org/10.11648/j.ajim.20210901.13
AB - Jejunal diverticulitis is a rare condition and often difficult to diagnose. We report a case of 68-year–old man with a history of sigmoid diverticulitis who presented to the emergency room with a one day history of acute abdominal pain of the left lower quadrant. Initial CT of the Abdomen and Pelvis revealed ileus vs early/partial small bowel obstruction mildly distended loops of the small bowel with decompressed loops of small bowel in the right lower quadrant with no distinct transition point. The patient was treated with antibiotics for presumed gastroenteritis. However, given persistent symptoms and unclear etiology a CT enterography was ordered and demonstrated jejunal diverticulitis with microperforation and a significant phlegmon surrounding the inflamed diverticulum. The patient was treated with ciprofloxacin and metronidazole and reported complete resolution of symptoms after the course of antibiotics. Jejunal diverticula are extremely rare with an incidence of 0.06% to 1.3%. Prior case reports described some of its complications including bleeding, perforation and ulceration. Jejunal diverticulitis should be in the differential diagnosis of acute abdomen especially in patients with unclear etiology. This condition can be missed by contrasted CT of the abdomen and dedicated small bowel imaging such as CT Enterography can assist making the diagnosis.
VL - 9
IS - 1
ER -

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Author Information

Hamza Merza Abdulla

Division of Gastroenterology & Hepatology, University of Maryland Medical System, Baltimore, Maryland, USA
Ronald Erastus Samuel

Division of Gastroenterology & Hepatology, University of Texas Medical Branch, Galveston, Texas, USA
Joseph Marc Shabot

Division of Gastroenterology & Hepatology, University of Texas Medical Branch, Galveston, Texas, USA

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Plain Text BibTeX RIS

APA Style

Hamza Merza Abdulla, Ronald Erastus Samuel, Joseph Marc Shabot. (2021). Acute Jejenal Diverticulitis: Case Report of Uncommon Presentation. American Journal of Internal Medicine, 9(1), 17-20. https://doi.org/10.11648/j.ajim.20210901.13

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ACS Style

Hamza Merza Abdulla; Ronald Erastus Samuel; Joseph Marc Shabot. Acute Jejenal Diverticulitis: Case Report of Uncommon Presentation. Am. J. Intern. Med. 2021, 9(1), 17-20. doi: 10.11648/j.ajim.20210901.13

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AMA Style

Hamza Merza Abdulla, Ronald Erastus Samuel, Joseph Marc Shabot. Acute Jejenal Diverticulitis: Case Report of Uncommon Presentation. Am J Intern Med. 2021;9(1):17-20. doi: 10.11648/j.ajim.20210901.13

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@article{10.11648/j.ajim.20210901.13,
  author = {Hamza Merza Abdulla and Ronald Erastus Samuel and Joseph Marc Shabot},
  title = {Acute Jejenal Diverticulitis: Case Report of Uncommon Presentation},
  journal = {American Journal of Internal Medicine},
  volume = {9},
  number = {1},
  pages = {17-20},
  doi = {10.11648/j.ajim.20210901.13},
  url = {https://doi.org/10.11648/j.ajim.20210901.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajim.20210901.13},
  abstract = {Jejunal diverticulitis is a rare condition and often difficult to diagnose. We report a case of 68-year–old man with a history of sigmoid diverticulitis who presented to the emergency room with a one day history of acute abdominal pain of the left lower quadrant. Initial CT of the Abdomen and Pelvis revealed ileus vs early/partial small bowel obstruction mildly distended loops of the small bowel with decompressed loops of small bowel in the right lower quadrant with no distinct transition point. The patient was treated with antibiotics for presumed gastroenteritis. However, given persistent symptoms and unclear etiology a CT enterography was ordered and demonstrated jejunal diverticulitis with microperforation and a significant phlegmon surrounding the inflamed diverticulum. The patient was treated with ciprofloxacin and metronidazole and reported complete resolution of symptoms after the course of antibiotics. Jejunal diverticula are extremely rare with an incidence of 0.06% to 1.3%. Prior case reports described some of its complications including bleeding, perforation and ulceration. Jejunal diverticulitis should be in the differential diagnosis of acute abdomen especially in patients with unclear etiology. This condition can be missed by contrasted CT of the abdomen and dedicated small bowel imaging such as CT Enterography can assist making the diagnosis.},
 year = {2021}
}

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