Small Intestinal Diverticulosis: A Rare Cause of Intestinal Perforation Revisited

Acute Abdomen Secondary to Ileal Diverticulum: A Case Report

Small-bowel diverticulosis is rare. We report the case of a male with an acute abdomen secondary to an ileal diverticulum. A 46-year-old male complained of progressive abdominal pain over 24 hours of evolution in the left flank. On physical examination, we found abdominal pain in the left flank and mesogastrium, tenderness, and signs of peritonitis. The simple abdominal CT showed a heterogeneous tubular image in the small bowel. We performed a diagnostic laparoscopy and found a normal cecal appendix. There was no free abdominal fluid or adhesions, and the colon was without diverticula. We found a single diverticulum of 4 cm in length and 2 cm in diameter in the small intestine and therefore converted the procedure to a laparotomy. We performed a bowel resection including the diverticulum and intestinal anastomosis. The patient reported remission of symptoms after surgery.

A rare case of terminal ileum diverticulosis in a-32-year old woman

Introduction

and importance: Acquired small bowel diverticulosis is rare 1% and the ileum is the less frequent occurring site 15%. Most cases were multiple and asymptomatic. This is the first case of perforated terminal ileum diverticula in a 32-year-old woman and successfully managed surgically.

Case presentation

We describe a rare case of terminal ileal diverticulosis, one of the diverticula was perforated, in a 32-year-old female who presented with a 2-days history of sudden epigastric and periumbilical pain and had been managing surgically. At surgery, we found multiple diverticula, one of them was perforated. Microscopically, the specimen confirmed that the diagnosis was diverticulosis.

Conclusion

Diverticulosis should be included in the differential diagnosis of a sudden epigastric and periumbilical pain even in this age.

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Small bowel diverticulosis is not common comparing with colonic diverticulosis and occurs in up to 1% of patients.

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Diverticula is more common in males than females.

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We report a case of terminal ileum diverticulosis and a perforation of one diverticulum.