A rare case of entire small bowel diverticulosis- a case report

Abstract

. Small bowel diverticulosis is a rare condition, with diverticula that can be classified as congenital or acquired, mostly of them being acquired pseudo diverticula, excepting the Meckel diverticula that is congenital. Their exact etiology has not been definitively identified and most of the patients with this condition are asymptomatic, but when they get complicated with occlusion or perforations, they become an emergency. The clinical case is represented by an 87- year-old patient with intestinal oclusion, caused by an intestinal volvulus on adherential brida, with a personal history of hysterectomy 20 years ago, left brest mastectomy 15 years ago and a laparoscopic cholecystectomy 5 years ago. Although the patient had an abdomino-pelvic computer tomograph at admission in the emergency room, the small bowel diverticulosis was discovered intraoperatively. Objectives: to present the case particularity, the etiology, the possible complications and the method of choices for the treatment of this given pathology. Material and methods: the specialty literature was researched to see what is the standard procedure in this type of condition and what to do when we find these so-called incidentalomas. Results: The results of the given case shows that diverticulosis of the small intestine, a rare condition, can always appear in clinical practice concomitantly or not with other diseases so it’s important to recognize it and know what to do in this case . Conclusion: More knowledge of this rare condition would be very useful in clinical practice, from putting the diagnosis through radiological investigation methods to knowing the treatment options.