As a result of the variety of presentations, complications of jejunal diverticulosis present a diagnostic and therapeutic challenge for the acute care surgeon. [ncbi.nlm.nih.gov]

• Anemia

  A case of left-sided paraduodenal hernia and jejunal diverticulosis is described in 75-year-old man who presented with chronic intermittent abdominal pain, weight loss, and anemia. [ncbi.nlm.nih.gov]

  As anemia was not improved by conservative therapy and selective superior mesenteric angiogram revealed a bleeding lesion in the jejunum, emergency operation was performed. [jlc.jst.go.jp]

  Anemia due to iron deficiency and megaloblastic anemia have often been reported and commonly attributed to malabsorpion, steatorreia, and vitaminic deficit [23, 33]. [wjes.biomedcentral.com]

  The disease is often asymptomatic and must be taken into consideration in cases of unexplained malabsorption, anemia, chronic abdominal pain and discomfort. [mendeley.com]

• Abdominal Pain

  A 33-year man repeatedly presented to emergency with abdominal pain which resolved with analgesics until he developed constipation, vomiting, fever and severe abdominal pain. He had to undergo laparotomy which revealed multiple jejunal diverticula. [ncbi.nlm.nih.gov]

  A 45-year-old woman presented with crampy, generalized abdominal pain which had been present intermittently for five years. A complete endoscopic examination of the gastrointestinal tract was precipitated by an acute decrease in hemoglobin level. [scholars.opb.msu.edu]

• Nausea

  During the 2 years before the current presentation, she had reported having frequent episodic nausea, abdominal distention, and colic followed by violent fecaloid vomiting. [nejm.org]

  It is most often asymptomatic but presenting symptoms are nonspecific and include abdominal pain, nausea, diarrhea, malabsorption, bleeding, obstruction, and/or perforation. [utmb.influuent.utsystem.edu]

  We present the association of enterolithiasis and jejunal diverticulosis causing obstruction of the small intestine in a 74-year-old female who was admitted for abdominal cramps, nausea and vomiting. [ncbi.nlm.nih.gov]

• Chronic Abdominal Pain

  Ten patients complained of chronic abdominal pain, in eight of whom the cause was not diagnosed until other complications supervened. [ncbi.nlm.nih.gov]

  The disease is often asymptomatic and must be taken into consideration in cases of unexplained malabsorption, anemia, chronic abdominal pain and discomfort. [mendeley.com]

  Conclusion Although jejunal diverticulosis and its complications are rare, it should be considered in the differential diagnosis of intra-abdominal sepsis and of chronic abdominal pain, especially in older patients. [sages.org]

  Most patients have chronic abdominal pain and bloated sensation. [abdominalsurg.org]

• Early Satiety

  Nineteen patients had symptoms of epigastric pain, early satiety, and bloating for which no cause other than the presence of jejunal diverticulosis was found. [ncbi.nlm.nih.gov]

  Patients can also present non specific symptoms (60% of DJID) such as abdominal discomfort, early satiety and bloating. [jbsr.be]

  Many patients are asymptomatic or report nonspecific symptoms such as recurrent abdominal pain, early satiety, bloating, loud borborygmi, and intermittent diarrhea. Complications include bleeding, diverticulitis, and perforation. [merckmanuals.com]

• Hematochezia

  Figure 1 Case 3: A 62-year-old male on warfarin presented to the emergency department with melena and hematochezia. Neither EGD nor colonoscopy showed an active bleed. [journals.lww.com]

  Diverticular bleeding manifests as painless hematochezia. Because the bleeding vessel is an arteriole, the amount of blood loss is usually moderate to severe. [merckmanuals.com]

  […] computed tomography (CT) angiography, CT enterography, and conventional angiography can also be used to delineate obscure sources of GIB. 1 Case Report A 63-year old woman was referred to our institution from a community hospital with a 3-day history of hematochezia [acgcasereports.gi.org]

  A hemoglobin level is important in patients who report hematochezia. Electrolyte assays may be helpful in the patient who is vomiting or has diarrhea. Assess renal function prior to the administration of most intravenous contrast material. [emedicine.medscape.com]

• Suggestibility

  We describe three patients with jejunal diverticulosis within one family, which might suggest inheritance. [ncbi.nlm.nih.gov]

Workup of these symptoms included computed tomography, which showed small-bowel dilatation along with a whirl sign and numerous collateral veins, suggestive of a midgut volvulus (see video ). [nejm.org]

See Workup for more detail. Treatment of diverticulitis The management of patients with diverticulitis depends on their presentation severity, presence of complications, and comorbid conditions. [emedicine.medscape.com]

• Pneumoperitoneum

  In the absence of abdominal operative procedures, symptomless spontaneous pneumoperitoneum is uncommon. [ncbi.nlm.nih.gov]

  Conclusion: Although spontaneous pneumoperitoneum due to jejunal diverticulosis is a rare finding, when it does occur, this condition must be distinguished from other forms of pneumoperitoneum to avoid unnecessary surgery. [infona.pl]

• Abnormal Renal Function

  Her initial white cell count was 11.3 g/dL with an abnormal renal function-urea of 11.4 and a creatinine of 156. An initial ultrasound scan of the abdomen and pelvis was normal. [wjgnet.com]

The treatment is mainly surgical; however, there have been cases where nonsurgical management was successful. [ncbi.nlm.nih.gov]

The signs, symptoms, diagnosis, complications and treatment of JD will be discussed through a review of the literature and a series of cases from our own institution. [karger.com]

Prognosis The prognosis is good even with complications. [emedicine.medscape.com]

Course & Prognosis • 10-20% of patients experience complications, mainly diverticulitis and lower GI bleeding. • Conservative management of diverticular disease is preferred. • Surgery reserved for major complications. • In UK, surgery usually for cases [slideshare.net]

[…] gas and fluid into pelvis and peritoneal cavity abscess formation (seen in up to 30% of cases) may contain fluid, gas or both fistula formation (usually a chronic complication) gas in the bladder direct visualization of a fistulous tract Treatment and prognosis [radiopaedia.org]

Telomere Length in Leukocyte DNA in Gastric Cancer Patients and its Association with Clinicopathological Features and Prognosis. [hospital.fujita-hu.ac.jp]

A 78-year-old man with bowel obstruction of unknown etiology was initially managed conservatively, but suffered recurrence of the obstruction. [ncbi.nlm.nih.gov]

A literature review has revealed that these signs have been present in other cases of jejunal diverticulosis, although the etiology and pathophysiology is not clearly understood. [paperity.org]

Diverticulose Etiologie Homme Intestin grêle Jéjunum Malabsorption intestinale Polyneuropathie périphérique Système nerveux pathologie Thiamine Keyword (en) Digestive diseases Bacteria Vitamin deficiency Chronic Colonization Complication Diverticulosis Etiology [pascal-francis.inist.fr]

When ultrasound fails to provide a specific diagnosis in a case of persistent LLQ pain, computed tomography (CT) scan should be perfomed to exclude uncommon etiologies. [mjmsr.net]

Etiology The chief predisposing factors of diverticulosis of the small intestines may be summarized briefly as follows: Article History Published in print: Apr 1946 [pubs.rsna.org]

A brief review of the epidemiology, pathogenesis, and clinical presentation displays the variety of symptoms associated with these rare conditions. [ncbi.nlm.nih.gov]

Systemic sclerosis Visceral myopathy Visceral neuropathy Epidemiology United States Duodenal diverticula are approximately five times more common than jejunoileal diverticula. [emedicine.medscape.com]

[citation needed] Epidemiology[edit] The prevalence of diverticulosis progressively increases with age. [en.wikipedia.org]

Colonic diverticulosis and diverticular disease: Epidemiology, risk factors, and pathogenesis. https://www.uptodate.com/contents/search. Accessed July 24, 2018. Tursi A, et al. [mayoclinic.org]

Pathophysiology, Diagnosis, Management, 2nd Ed. Philadelphia, Saunders, 1978, pp 1094–1103 Google Scholar 11. Ament ME, Shimoda SS, Saunders DR, et al: Pathogenesis of steatorrhea in three cases of small intestinal stasis syndrome. [springerlink.com]

A literature review has revealed that these signs have been present in other cases of jejunal diverticulosis, although the etiology and pathophysiology is not clearly understood. [paperity.org]

Pathophysiology The cause of this condition is not known. It is believed to develop as the result of abnormalities in peristalsis, intestinal dyskinesis, and high segmental intraluminal pressures. [emedicine.medscape.com]

"Etiology and pathophysiology of diverticular disease". Clinics in Colon and Rectal Surgery. 17 (3): 147–53. doi:10.1055/s-2004-832695. PMC 2780060. [en.wikipedia.org]

// British Medical Journal;7/26/1980, Vol. 281 Issue 6235, p273 Diarrhoea is occasionally encountered during cimetidine treatment but no satisfactory pathophysiological mechanism has been proposed. [connection.ebscohost.com]

Because jejunal diverticula may be encountered during a sonographic examination, sonologists should be aware of their sonographic appearance to prevent diagnostic errors. [ncbi.nlm.nih.gov]

Because jejunal diverticula may be encountered during a sonographic examination, sonologists should be aware of their sonographic appearance to prevent diagnostic errors. © 2006 Wiley Periodicals, Inc. [onlinelibrary.wiley.com]

Early diagnosis and proper management is important to prevent morbidity. Diagnostic modalities that are helpful include abdominal CT or MRI, capsule endoscopy, and deep enteroscopy. © The American College of Gastroenterology 2016. [journals.lww.com]