Lutaya Innocent, Logvinsky Ilana, Mefford Molly E, Nway Nway, Qureshi Abid
Internal Medicine, American University of Antigua, New York City, USA.
Medical School, American University of Antigua, New York City, USA.
Cureus. 2022 Apr 17;14(4):e24209. doi: 10.7759/cureus.24209. eCollection 2022 Apr.
Jejunal diverticulitis is a rare form of diverticulosis that occurs in the jejunum. Ileal diverticula are a type of false diverticula that are mostly asymptomatic and are usually discovered on imaging as incidental findings. Jejunal diverticula are typically difficult to diagnose pre-operatively due to their indolent and asymptomatic nature. The etiology of this condition is unclear, although some are believed to be genetic if diffuse. When symptomatic, patients may present with vague symptoms. This requires a high index of clinical suspicion because imaging results are usually negative. Management often requires surgical intervention in the presence of complications. Our case highlights a rare case of jejunal-ileal diverticulosis with inward involution causing Witzel tube (jejunostomy tube, or J-tube) obstruction and failure, along with partial obstruction of the small bowel.
空肠憩室炎是憩室病的一种罕见形式，发生于空肠。回肠憩室是一种假性憩室，大多无症状，通常在影像学检查时作为偶然发现。空肠憩室由于其隐匿性和无症状性，术前通常难以诊断。尽管有些弥漫性病例被认为与遗传因素有关，但该病的病因尚不清楚。有症状时，患者可能表现为模糊不清的症状。这需要高度的临床怀疑，因为影像学检查结果通常为阴性。出现并发症时，治疗通常需要手术干预。我们的病例突出了一例罕见的空肠回肠憩室病，其向内内卷导致维泽尔管（空肠造瘘管，即J管）阻塞和功能失效，同时伴有小肠部分梗阻。
