Nonsurgical management of acute jejunal diverticulitis: A review

Jeffrey S. Novak, Jeffrey Tobias, Jamie S Barkin

Research output: Contribution to journalArticle

43 Citations (Scopus)

Abstract

Background: Diverticular disease of the colon and its complications are well known and readily considered when patients present with the proper clinical scenario. Conversely, complications of small bowel diverticula are very uncommon entitles and are not often thought of as a cause of bleeding, obstruction, or an acute abdomen. Objective: To report two patients presenting with an acute abdomen caused by acute jejunal diverticulitis who were treated nonsurgically as opposed to surgically as the literature dictates. Methods: Two patients presented with sudden onset of acute periumbilical pain that bad increased progressively over 1-2 days before admission. An emergent CT scan performed in each patient with localized peritonitis revealed 'collections' consistent with abscess cavities. One patient was treated with antibiotics alone and the other with a combination of antibiotics and percutaneous CT-guided aspiration. CT-guided needle aspiration was performed and the injection of contrast clearly revealed communication with a jejunal diverticulum. Both patients did well and were subsequently discharged without incident or surgical intervention. Conclusions: Acute jejunal diverticulitis must be considered in the differential diagnosis of an acute abdominal process and may be successfully treated nonsurgically despite the recommendations of previous reports.

Original languageEnglish
Pages (from-to)1929-1931
Number of pages3
JournalAmerican Journal of Gastroenterology
Volume92
Issue number10
StatePublished - Oct 1 1997

Fingerprint

Diverticulitis
Acute Abdomen
Diverticulum
Anti-Bacterial Agents
Acute Pain
Peritonitis
Abscess
Needles
Colon
Differential Diagnosis
Communication
Hemorrhage
Injections

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Nonsurgical management of acute jejunal diverticulitis : A review. / Novak, Jeffrey S.; Tobias, Jeffrey; Barkin, Jamie S.

In: American Journal of Gastroenterology, Vol. 92, No. 10, 01.10.1997, p. 1929-1931.

Research output: Contribution to journalArticle

Novak, Jeffrey S. ; Tobias, Jeffrey ; Barkin, Jamie S. / Nonsurgical management of acute jejunal diverticulitis : A review. In: American Journal of Gastroenterology. 1997 ; Vol. 92, No. 10. pp. 1929-1931.
@article{5561d723ce2648f3b730c23cf4bb1758,
title = "Nonsurgical management of acute jejunal diverticulitis: A review",
abstract = "Background: Diverticular disease of the colon and its complications are well known and readily considered when patients present with the proper clinical scenario. Conversely, complications of small bowel diverticula are very uncommon entitles and are not often thought of as a cause of bleeding, obstruction, or an acute abdomen. Objective: To report two patients presenting with an acute abdomen caused by acute jejunal diverticulitis who were treated nonsurgically as opposed to surgically as the literature dictates. Methods: Two patients presented with sudden onset of acute periumbilical pain that bad increased progressively over 1-2 days before admission. An emergent CT scan performed in each patient with localized peritonitis revealed 'collections' consistent with abscess cavities. One patient was treated with antibiotics alone and the other with a combination of antibiotics and percutaneous CT-guided aspiration. CT-guided needle aspiration was performed and the injection of contrast clearly revealed communication with a jejunal diverticulum. Both patients did well and were subsequently discharged without incident or surgical intervention. Conclusions: Acute jejunal diverticulitis must be considered in the differential diagnosis of an acute abdominal process and may be successfully treated nonsurgically despite the recommendations of previous reports.",
author = "Novak, {Jeffrey S.} and Jeffrey Tobias and Barkin, {Jamie S}",
year = "1997",
month = "10",
day = "1",
language = "English",
volume = "92",
pages = "1929--1931",
journal = "American Journal of Gastroenterology",
issn = "0002-9270",
publisher = "Nature Publishing Group",
number = "10",

}

TY - JOUR

T1 - Nonsurgical management of acute jejunal diverticulitis

T2 - A review

AU - Novak, Jeffrey S.

AU - Tobias, Jeffrey

AU - Barkin, Jamie S

PY - 1997/10/1

Y1 - 1997/10/1

N2 - Background: Diverticular disease of the colon and its complications are well known and readily considered when patients present with the proper clinical scenario. Conversely, complications of small bowel diverticula are very uncommon entitles and are not often thought of as a cause of bleeding, obstruction, or an acute abdomen. Objective: To report two patients presenting with an acute abdomen caused by acute jejunal diverticulitis who were treated nonsurgically as opposed to surgically as the literature dictates. Methods: Two patients presented with sudden onset of acute periumbilical pain that bad increased progressively over 1-2 days before admission. An emergent CT scan performed in each patient with localized peritonitis revealed 'collections' consistent with abscess cavities. One patient was treated with antibiotics alone and the other with a combination of antibiotics and percutaneous CT-guided aspiration. CT-guided needle aspiration was performed and the injection of contrast clearly revealed communication with a jejunal diverticulum. Both patients did well and were subsequently discharged without incident or surgical intervention. Conclusions: Acute jejunal diverticulitis must be considered in the differential diagnosis of an acute abdominal process and may be successfully treated nonsurgically despite the recommendations of previous reports.

AB - Background: Diverticular disease of the colon and its complications are well known and readily considered when patients present with the proper clinical scenario. Conversely, complications of small bowel diverticula are very uncommon entitles and are not often thought of as a cause of bleeding, obstruction, or an acute abdomen. Objective: To report two patients presenting with an acute abdomen caused by acute jejunal diverticulitis who were treated nonsurgically as opposed to surgically as the literature dictates. Methods: Two patients presented with sudden onset of acute periumbilical pain that bad increased progressively over 1-2 days before admission. An emergent CT scan performed in each patient with localized peritonitis revealed 'collections' consistent with abscess cavities. One patient was treated with antibiotics alone and the other with a combination of antibiotics and percutaneous CT-guided aspiration. CT-guided needle aspiration was performed and the injection of contrast clearly revealed communication with a jejunal diverticulum. Both patients did well and were subsequently discharged without incident or surgical intervention. Conclusions: Acute jejunal diverticulitis must be considered in the differential diagnosis of an acute abdominal process and may be successfully treated nonsurgically despite the recommendations of previous reports.

UR - http://www.scopus.com/inward/record.url?scp=0030870887&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0030870887&partnerID=8YFLogxK

M3 - Article

C2 - 9382070

AN - SCOPUS:0030870887

VL - 92

SP - 1929

EP - 1931

JO - American Journal of Gastroenterology

JF - American Journal of Gastroenterology

SN - 0002-9270

IS - 10

ER -