Jejunal diverticulosis is rarely seen in jejunum and clinically present as intestinal obstruction which is very difficult to diagnose pre-operatively and is a per operative finding. We are reporting a case of a 56-year old male patient who had clinical symptoms of generalized abdominal pain and vomiting off and on for one and a half year. The patient presented in casualty with signs and symptoms of acute intestinal obstruction with nausea and vomiting. On clinical examination, the abdomen was distended with a central abdominal distension and raised bowel sounds i.e borborygmy. The erect abdominal X-Ray showed multiple air-fluid levels and dilated jejunal loops. Following this, the patient underwent an emergency exploratory laparotomy. Per operatively we found multiple jejunal diverticulae, multiple bands and adhesions involving jejunum and proximal ileum. The adhesions and bands were removed and the part of jejunul diverticulum was resected and anastomosed primarily. Inflamed diverticulae was sent for histopathological examination.

Keywords:  jejunal diverticulosis, bowel obstruction, bands, localized cocoon.

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Dr Khwaja Nasim Ahmad

Associate Professor, Dept. of Gen. Surgery, KMC, Katihar