|
Journal of Minimal Access Surgery
Medknow Publications
ISSN: 0972-9941 EISSN: 0972-9941
Vol. 5, No. 4, 2009, pp. 115-117
|
Bioline Code: ma09030
Full paper language: English
Document type: Case Report
Document available free of charge
|
|
Journal of Minimal Access Surgery, Vol. 5, No. 4, 2009, pp. 115-117
en |
Total laparoscopic management of large complicated jejunal diverticulum
Garg, Niraj; Khullar, Rajesh; Sharma, Anil; Soni, Vandana; Baijal, Manish & Chowbey, Pradeep
Abstract
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.
Keywords
Diagnostic laparoscopy, diverticulum, resection anastomosis
|
|
© Copyright 2009 Journal of Minimal Access Surgery. Alternative site location: http://www.journalofmas.com/
|
|