A Case of Ileus due to Simple Jejunal Diverticulum.

Takashi Kohtani, Shinji Takano, Katsutoshi Miyauchi, Kanji Kawachi, Shigehiro Koga^*and Jun Masuda^*

Department of Surgery II, Ehime University School of Medicine
^*Department of Surgery, Uwajima Social Insurance Hospital

A 58-year-old woman admitted with abdomina pain and abdominal distension, had been diagnosed with ileus at an other hospital. Upper gastrointestinal tract examination showed a duodenum diverticulum and a jejunal diverticulum. We diagnosed ileus due to a jejunal diverticulum. Conservative therapy with an ileustube, and intravenous hyperlimentation achieved, but no symptomatic remission, necessitating adhesiotomy and wedge resection of the jejunal diverticulum. Resected jejunal diverticulum was a simple, true diverticulum with pathological inflammatory changes. The postoperative course was uneventful. This case is of interest due to its rarity.

Key words
jejunal diverticulum, ileus

Reprint requests
Takashi Kohtani Department of Surgery II, Ehime University School of Medicine
Shitsukawa, Shigenobu-chou, Onsen-gun, Ehime, 791-0295 JAPAN

Accepted
March 27, 2002

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