Large jejunal diverticular faecolith causing small bowel obstruction: a bizarre cause of an acute abdomen
Keywords:Small bowel obstruction, Diverticulosis, Jejunal diverticula, Faecolith
Jejunal diverticula are uncommon and usually asymptomatic. Very rarely, they can lead to acute complications such as bleeding, diverticulitis, perforation and obstruction. Incidence of faecolith in jejunal diverticula is also rarely reported. In this report we outline our experience of acute small bowel obstruction due to the dislodgement of the faecolith from diverticula into the jejunum, where patient was previously asymptomatic and successful management of the case.
Al-Ahmedi SK, Saeed MH. Antimesenteric Jejunal Diverticulosis: a case report. Eur J Surg Sci. 2010;1(3):96-8.
Williams RA, Davidson DD, Serota AI, Wilson SE. Surgical problems of diverticula of the small intestine. Surg Gynecol Obstet. 1981;152(5):621-6.
Kavanagh C, Kaoutzanis C, Spoor K, Friedman PF. Perforated jejunal diverticulum:a rare presentation of acute abdomen. BMJ Case Reports. 2014;2014:bcr-2013-202673.
Chiu EJ, Shyr YM, Su CH, Wu CW, Lui WY. Diverticular disease of the small bowel. Hepatogastroenterology. 2000;47(31):181-4.
Quinn T, Strauss P. Faecolith arising from jejunal diverticulosis: an unusual cause of small bowel obstruction in the virgin abdomen. ANZ J Surg. 2014;84(9):689-91.
Hyland R, Chalmers A. CT features of jejunal pathology. Clin Radiol. 2007;62(12):1154-62.
Chugay P, Choi J, Dong XD. Jejunal diverticular disease complicated by enteroliths: report of two different presentations. World J Gastrointest Surg. 2010;2(1):26-9.
Lassaletta AD, Fike FB, Sheth KR. Image of the month. Perforated small-bowel diverticulum with calcified faecolith. JAMA Surg. 2013;148(6):577-8.
Colvin HS, Kuenfoo C, Rajab TK, Sayadatas T. Nonsurgical management of recurrent perforation of a jejunal diverticulum following previous segmental bowel resection: a case report. J Med Case Reports. 2009;3:7318.