Case Report
Volume 7 Issue 6 - 2020
Massive Small Intestine Diverticular Disease
José Alberto Martínez Valdes1*, Morelos Adolfo García Sánchez2, Juan Manuel Tierrafría Valle1, Alberto Uriel Garnica Rosales1, Luis Andrés Sáenz Romero1, Mireya de la Fuente González3, Alan Roberto Vázquez Rebollo1, Ana Isabel Rodríguez Venegas1, Daniel Ramírez León1, Héctor Armando Miranda Blasnich1, Roxana Islas Mendoza1, Yabin Javier Soto García1, Jorge Armando Gutiérrez Macias1 and Christopher Jairo Rubio Alvarez1
1General Surgeon, Surgical Department at “Dr. Rubén Leñero” General Hospital Secretary of Health of Mexico City, National Autonomous University of Mexico, Mexico City, Mexico
2Colonic and Rectal Surgeon and General Surgeon, Surgical Department at “Dr. Gaudencio Gonzalez Garza” General Hospital Specialized Medical Unit, “La Raza”, National Medical Center, Mexican Social Security Institute, National Autonomous University of Mexico, Mexico City, Mexico
3General Surgeon, Surgical Department at “Dr. Gaudencio Gonzalez Garza” General Hospital Specialized Medical Unit, “La Raza”, National Medical Center, Mexican Social Security Institute, National Autonomous University of Mexico, Mexico City, Mexico
*Corresponding Author: José Alberto Martínez Valdes, General Surgeon, Surgical Department at “Dr. Rubén Leñero” General Hospital Secretary of Health of Mexico City, National Autonomous University of Mexico, Mexico City, Mexico.
Received: May 03, 2020; Published: May 29, 2020




Abstract

Introduction: Small intestine diverticular disease is a rare pathology with an incidence of 0.2%; more frequent in patients ranging between 60 and 70 years of age. Caused by a protrusion of the mucosa and submucosa of the small intestine through its muscular layer. These types of diverticula are usually multiple, and they appear at the mesenteric border.

Purpose: Submission of a clinical case to the surgical community.

Results and Discussion: Small intestine diverticular disease is a rare pathology with an incidence of 0.2%; more frequent in patients ranging between 60 and 70 years of age. Caused by a protrusion of the mucosa and submucosa of the small intestine through its muscular layer. These types of diverticula are usually multiple, and they appear at the mesenteric border.

A probable cause for this pathology is the motor dysfunction of the smooth muscle or the myenteric plexus in the small intestine. In general, this pathology is usually asymptomatic, unless some sort of complication occurs.

A conservative treatment based on fasting and systemic antibiotics has been provided for those patients who are clinically and hemodynamically stable and have uncomplicated diverticular disease. However, the surgical treatment of small intestine diverticula has shown good results.

Conclusion: It is a clinical entity still truly unknown by the medical community and currently, there is no specific bibliographic support in the world’s research literature; it is indeed extremely rare.

Its clinical features are unknown. There is no clear etiology, nor a standardized or established management. Its operative findings result mainly from imaging tests carried out with no suspected condition, or during the intraoperative period of unrelated surgical pathologies. Thus, the relevance of presenting this case and gain knowledge of its existence.

Keywords: Diverticular Disease; Diverticula; Diverticulitis; Jejunum; Ileum; Mucosa; Submucosa

References

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Citation: José Alberto Martínez Valdes., et al. “Massive Small Intestine Diverticular Disease”. EC Gastroenterology and Digestive System 7.6 (2020): 57-61.

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