COMPLICATED JEJUNAL DIVERTICULA AS SURGICAL EMERGENCY: EXPERIENCE AT A TERTIARY CARE HOSPITAL IN PESHAWAR, PAKISTAN

Ijaz Ahmed, Mohammad Naeem, Ambreen Samad, Amir Nasir, Zahid Aman, Siddique Ahmed, Fazal Manan

Abstract


Background: Diverticula of small intestine are rare. Jejunal diverticula can be single or multiple.
Diverticula in the jejunum tend to be large and multiple. Clinically they may be asymptomatic or
may give rise to symptoms like pain, flatulence and borborygmi, may produce malabsorption
syndrome or may present in emergency with different acute pathologies like perforation,
haemorrhage, obstruction, enterolith formation and inflammation. The Objective was to see the
pattern of complications in jejunal diverticula presenting as a surgical emergency. Methods: This
descriptive study was conducted at Surgical Units of the 3 tertiary care Hospitals of Peshawar, for
7 years from January 1, 2002 to December 31, 2008. Study included all patients presenting to and
admitted in Surgical Unit, Hayatabad Medical Complex, Peshawar with complicated jejunal
diverticula during the above mentioned period. Name, age, sex, other relevant data, history and
examination findings and results of investigation were recorded. Uncomplicated jejuna diverticula
were excluded from study. The operative findings and the type of complication were recorded.
Results: Ten patients were admitted during 7 years of study. Out of all patients 9 were male and 1
was female. Eight out of 10 patients presented with perforation of diverticula while 1 patient had
severe inflammation of diverticulum causing pain, ileus and acute abdomen. One patient had acute
pain due to adhesion formation. Conclusion: It is seen that complicated jejunal diverticulae are
quite rare and the most common complication is perforation. Inflammation and adhesion are other
complications with which jejunal diverticula presented during this study.
Keywords: jejunal diverticula, perforation, diverticulitis, complication

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