Single-trocar transumbilical laparoscopy-assisted management of complicated jejunal diverticula

Surg Laparosc Endosc Percutan Tech. 2013 Apr;23(2):e78-80. doi: 10.1097/SLE.0b013e31826e4816.

Abstract

Small-intestinal nonmeckelian diverticula are very uncommon and are considered to be acquired pulsion diverticula. Most of these diverticula are asymptomatic and are simply incidental findings. Complicated-acquired diverticular disease of the jejunum and ileum is a diagnostic dilemma. Small-bowel diverticulum is diagnosed with the aid of radiography techniques, such as small-bowel contrast series or enteroclysis. Laparotomy remains the gold standard for a definite diagnosis of asymptomatic and complicated diverticula, but laparoscopy is also very useful in the diagnosis and treatment of this condition. A surgical approach is the best form of treatment for complicated jejunoileal diverticula. The current report is about a patient who presented with iron deficiency anemia caused by a complicated jejunal diverticulum and managed with single-trocar transumbilical laparoscopy.

Publication types

  • Case Reports

MeSH terms

  • Anemia / diagnosis
  • Anemia / etiology
  • Diverticulum / complications
  • Diverticulum / diagnostic imaging
  • Diverticulum / surgery*
  • Endoscopes
  • Follow-Up Studies
  • Gastrointestinal Hemorrhage / diagnostic imaging
  • Gastrointestinal Hemorrhage / etiology
  • Gastrointestinal Hemorrhage / surgery*
  • Humans
  • Jejunal Diseases / complications
  • Jejunal Diseases / diagnostic imaging
  • Jejunal Diseases / surgery*
  • Male
  • Middle Aged
  • Natural Orifice Endoscopic Surgery / methods*
  • Risk Assessment
  • Severity of Illness Index
  • Tomography, X-Ray Computed / methods
  • Treatment Outcome
  • Umbilicus