Perforated Isolated Jejunal Diverticula due to Enterolith: A Case Report and Review of Literature
Small bowel diverticula are sac-like pouchings of the small bowel wall that can occur throughout the small bowel. Small bowel diverticula are most often found in the duodenum, followed by jejunum and ileum. In fact, Akhrass et al.,1 in their retrospective review of 208 patients with symptomatic small bowel diverticulosis, found that diverticula were located in the duodenum in 79% of cases, in the jejunum or ileum in 18% of cases, and in all three segments in 3% of cases. The incidence of jejunoileal diverticula is variable, reported to occur in 0.5–2.3% of individuals in radiographic series and up to 7% in autopsy studies.2 Furthermore, 77% of cases demonstrate multiple, as opposed to solitary, diverticula.3 They are more commonly reported in males, with the highest incidence in the sixth and seventh decades of life.