Yeungnam Univ J Med.  2005 Jun;22(1):113-118.

A Case of Jejunal Diverticulitis with Perforation Combined with Intussusception Caused by Inflammatory Fibroid Polyp

• Choi JW
• Kim KH
• Lee JE
• Kim JH
• Jang BI
• Kim TN
• Chung MK
• Kim JW

Abstract

Diverticulosis of the small intestine is a rare entity, compared with that of duodenum or colon, and is found in only 1% of autopsied patients. The main complications are diverticulitis with or without a perforation, obstruction and hemorrhage, which are associated with a high mortality. Intussusception is primarily a disease of childhood; with only 5 to 10% of cases occurring in adults. In contrast to childhood intussusception, 90% of adult intussusception cases are had an associated pathologic processes. An inflammatory fibroid polyp is an uncommonly localized non-neoplastic lesion of the gastrointestinal tract. It occurs most often in the stomach and secondly in the ileum. It rarely occurs in other organs such as the colon, jejunum, duodenum and esophagus. We report a case of jejunal diverticulitis with a perforation combined with intussusception caused by an inflammatory fibroid polyp. A 78-year-old female presented with abdominal pain, fever and chill. Contrast CT scan showed intussusception of the ileum. The patient was treated with a small bowel segmental resection. After surgery, the specimen showed jejunal diverticulitis with perforation.

Keyword

Jejunal diverticulitis; Intussusception; Inflammatory fibroid polyp

MeSH Terms

Abdominal Pain
Adult
Aged
Colon
Diverticulitis*
Diverticulum
Duodenum
Esophagus
Female
Fever
Gastrointestinal Tract
Hemorrhage
Humans
Ileum
Intestine, Small
Intussusception*
Jejunum
Leiomyoma*
Mortality
Pathologic Processes
Polyps*
Stomach
Tomography, X-Ray Computed