Abstract
Background Multiple small-bowel diverticulosis comprises a rare entity with probable underestimated
incidence, and that may be the reason why it is sometimes overlooked when managing
cases with peritonitis.
Case report In the present paper, we report the case of a 76-year-old male presenting abdominal
pain and fever in an acute setting. Computed tomography (CT) scans revealed jejunal
thickening and numerous images of saccular addition that were interpreted as jejunoileal
diverticulitis. After an initial period of clinical treatment, surgical management
was indicated based on a worsening clinical picture and the presence of an extraluminal
focus of gas detected in a subsequent CT scan. Through a laparoscopic approach, multiple
small-bowel diverticula and a tamponade perforation were found. A segmental intestinal
resection was performed, and the patient was discharged after a ten days.
Conclusions Multiple jejunal diverticulosis is a rare condition that should be remembered in
the setting of an acute abdomen. As it prevails among older patients, early diagnosis
with radiological aid is crucial to establish the most adequate management, including
intestinal resection, if necessary.
Keywords
case report - diverticulitis - jejunoileal diverticula - peritonitis - laparoscopic
approach
