Complicated pseudodiverticulosis of small intestine: a rare case report


  • Kamal Raj M. Institute of General Surgery, Madras Medical College, Chennai, Tamil Nadu, India
  • V. Venkatachalam Institute of General Surgery, Madras Medical College, Chennai, Tamil Nadu, India
  • Manasa A. Institute of General Surgery, Madras Medical College, Chennai, Tamil Nadu, India



Jejunal diverticula, Perforation, Acute abdomen, Pseudo-diverticulae


Diverticular disease though being a common entity in large bowel is recently noted to occur more proximally as well. In the jejunum, the mucosal outpouchings, called as pseudo-diverticulae, occurs with an incidence of 0.5-1.5%.Diagnosed incidentally as majority of them remain asymptomatic. When they are symptomatic, dyspepsia and bloating, recurrent abdominal cramping, malabsorption and megaloblastic anemia occurs. On occasions it is not uncommon for patients to present with hemorrhage, infections, obstruction or perforation. Perforation, being a rare presentation occurs in less than 6% of the cases. We present a case of a 70 year old male, who presented as acute abdomen, found to have isolated jejunal diverticular perforation intraoperatively.


Tsiotos GG, Farnell MB, IIstrup DM. Nonmeckelian jejunal or ileal diverticulosis: An analysis of 112 cases. Surgery. 1994;116:726-32.

Krishnamurthy S, Kelly MK, Rohrman CA, Schuffler MD. Jejunal diverticulosis: A heterogeneous disorder caused by a variety of abnormalitieso smooth muscle or myenteric plexus. Gastroenterology. 1983;85:538-47.

Localio SA, Stahl WM. Diverticular disease of the alimentary tract Part II; Cun Probl Surg. 1968;5:1-47.

Osler W. Notes on intestinal diverticula. Ann Surg.1881;4:202-7.

Gordinier HC, Sampson JA. Diverticulosis (non Meckel’s) causing intestinal obstruction, multiple mesenteric (acquired) diverticula of the small intestine. JAMA. 1906;46:1585-90.

Benson RE, Dixon CF, Waugh JM. Non- meckelian diverticula of jejunum and ileum. Ann Surg. 1943;118:377-93.

Baskin RH, Mayo CW. Jejunal diverticulosis; a clinical study of 87 cases. Surg Clin North Am. 1952;1185-96.

Hyland R, Chalmers A. CT features of jejunal pathology. Clin Radiol. 2007;62(12):1154-62.

Carey EJ, Fleischer DE. Investigations of the small bowelin gastrointestinal bleeding-enteroscopy and capsule endoscopy. Gastroenterol Clin North Am. 2005;34(4):719-34.

Akhrass R, Yaffee MB, Fischer C, Ponsky J, Shuck JM. Small-bowel diverticulosis: perceptions and reality. J Am Coll Surg. 1997;184:383-8.

Roses DF, Gouge TH, Scher KS, Ranson JH. Perforated diverticula of the jejunum and ileum. Am J Surg. 1976;132:649-52.

Herrington JL. Perforation of acquired diverticula of the jejunum and ileum- Analysis of reported cases. Surgery. 1962;51:426-33.

Martini R, Lolli E, Barbieri A, D’Ambrosi M. Perforated jejunal diveriticulitis: personal experience and diagnostic and therapeutical considerations. Ann Ital Chir. 2000;71:95-8.






Case Reports