A Rare Surgical Revelation: Perforated Jejunal Diverticulum Presenting As Acute Intestinal Obstruction

Abstract Jejunal diverticulosis is a rare entity with a reported clinical incidence of 0.5%.1 However, symptoms relating to its presence are non-specific, which does not only delay diagnosis, but also increases the risk of serious complications approaching 15%.2 Jejunal diverticula are uncommon, acquired lesions which are usually asymptomatic. When symptomatic they present with chronic nonspecific symptoms like pain, nausea, malnutrition and sometimes with acute presentation like gastrointestinal hemorrhage, peritonitis and obstruction. While chronic pain and malabsorption occurs in 40% of cases, perforation occurs only in 2.3–6.4% of all diverticula-bearing patients. Objective: We present the case of a patient provisionally diagnosed as Acute Intestinal obstruction. After surgical exploration, definitive diagnosis is Perforated Jejunal Diverticulum. Review of literature and different treatment protocols are discussed.