Jejunal Diverticulosis Revealed by Acute Intestinal Obstruction: A Case Report and Literature Review

Introduction: Jejunal diverticulosis is a rare and often asymptomatic condition that presents with vague and nonspecific symptoms, making diagnosis challenging. It is an acquired disorder where the mucosa and submucosa herniate through weakened areas of the intestinal muscle wall. Diagnosis is frequently incidental during imaging or surgery for unrelated conditions.Case presentation: We report the case of a 52-year-old multiparous woman with a history of right eye surgery, admitted for acute intestinal obstruction. She presented with abdominal pain, cessation of bowel movements, and delayed vomiting. Physical examination showed abdominal distension and tympanism. Imaging revealed small bowel distension with hydro-aerial levels and collapse of the terminal ileum and colonic frameManagement and Outcome : Intraoperative findings showed multiple jejunal diverticula and a strangulated small bowel loop due to parietal adhesions, mimicking an internal hernia. The adhesions were safely released, and the postoperative course was uneventful.Conclusion: Jejunal diverticulosis, though rare, predominantly affects elderly patients and can be associated with high morbidity and mortality. It should be considered as a differential diagnosis in cases of acute abdomen.