A Rare Complication of Closed Loop Obstruction with Mesenteric Volvulus Due to Jejunal Diverticulosis—a Case Report

Abstract

Jejunal diverticulosis is a rare condition seen in 1–2% of the population and is asymptomatic in 80% of its patients. It can however rarely produce life-threatening complications such as perforation, bleeding, and obstruction. Diagnosis is often delayed in such patients causing high mortality. We report a 79-year-old gentleman presenting with intestinal obstruction for 2 days with peritoneal signs. CT revealed jejunal dilatation with twisting of mesentery with whirlpool sign and closed loop obstruction of jejunum. A differential diagnosis of jejunal diverticulosis should be considered when encountering patients in the elderly age group in an emergency setting.