No. Age Sex Symptoms Signs WBC-/L Past medical history Method of diagnosis and findings Management Histology Follow-up Ref. 1 82 M LLQ and hypogastric pain Diffuse tenderness 18.2 CT: jejunal diverticulitis with perforation Surgical resection Multiple jejunal diverticulae. No malignancy Uneventful [4 ] 2 48 F RLQ pain Localized tenderness 15.6 CT: thickening of the distal jejunal loop with extraluminal air bubbles Surgery resection Multiple jejunal inflamed diverticulae NA [4 ] 3 87 M Abdominal pain & fever Tenderness in LLQ 13.8 CT: small intestinal diverticulitis with perforation Conservative 6 monthly follow-up for 5 years, no recurrence [5 ] 4 78 F Abdominal pain+diarrhea NA 16.4 Hypertension, hyperlipidemia, atrial fibrillation, and diabetes. Osteosarcoma of the thigh with lung metastasis CT: small intestine diverticulitis, with a large diverticulum (4.7 cm) near the jejunum Conservative Small bowel obstruction one year later, managed conservatively. Dead at 7 years-esophageal adenocarcinoma [5 ] 5 76 M Postprandial abdominal pain NA 19.9 Right hemicolectomy for hepatic flexure adenocarcinoma one year prior CT: multiple jejunal diverticulae with an inflammatory process Conservative 8 months follow-up, no recurrence [5 ] 6 87 M Epigastric pain for one week, bloating, loose stools RUQ guarding and tenderness 7.7 Segmental resection and anastomosis of perforated jejunal diverticulum 3 years prior. Colonic diverticulae CT: localized perforation of the small bowel with multiple dilated loops of small bowel surrounding an area of marked soft tissue stranding with multiple small locules of gas Conservative No recurrence [7 ] 7 35 M RLQ pain Guarding and tenderness in RLQ. Febrile 15.5 Ileal & colonic diverticulosis CT: Sigmoid diverticulitis. Repeat CT on 2nd admission confirmed Conservative. Readmitted 2 weeks later, managed conservatively. Elective surgery performed later [8 ] 8 73 F Diffuse+lower abdominal pain Diffuse tenderness, hypobowel sounds 5.8 LGI bleeding 3 months prior. Descending colon diverticulosis Barium enema X-ray Conservative for 10 days-laparotomy-right hemicolectomy due to suspicion of cancer Multiple diverticulae in the terminal ileum, one perforated. No malignancy Died post-op day 8-acute myocardial ischemia. Autopsy-multiple small bowel diverticulae, not inflamed [10 ] 9 29 M Right-sided lower abdominal pain Diffuse guarding and rigidity, more on the RLQ. 23 Recently diagnosed renal disease Diagnostic laparoscopy Diagnostic laparoscopy converted to laparotomy due to adhesions. Resection and anastomosis Single inflamed diverticulum. No malignancy [18 ] 10 81 M Right lower abdominal painful mass Tender mass in the right flank 13.9 Significant weight loss CT: cavitated thin-walled lesion in RIF Conservative till day 6; laparotomy with resection and anastomosis Multiple jejunal diverticula with mucosal ulceration and inflammatory lesions Discharged on day 5 post-op [19 ] 11 79 M Diffuse abdominal pain Generalized tenderness with signs of peritonitis 16 Hypertension, chronic obstructive pulmonary disease, diabetes, and cholecystectomy CT: thickening of the distal jejunal loop and thickening and infiltration of the mesenteric fat and free air in the mesentery Surgical resection and anastomosis Multiple jejunal diverticuale. No malignancy [20 ] 12 67 M Abdominal pain NA 12.2 Colonic diverticulosis and an episode of gastrointestinal bleeding one year before CT: colonic diverticulosis. Multiple diverticula of the small intestine, with signs of inflammation Initially conservative. Presented 2 months later with recurrence, managed with surgical resection underwent double enterectomy No evidence of malignancy NA [21 ] 13 77 M Localized abdominal pain RLQ tenderness 11.4 Gunshot wound to the abdomen requiring an exploratory laparotomy CT: focally thickened loop of small bowel in the anterior midabdomen with a small collection adjacent to the thickened small bowel measuring Conservative Well after 1 year follow-up [22 ] 14 82 F Generalized abdominal pain for one day Generalized abdominal tenderness with signs of peritonitis 18.2 CT: multiple small bowel diverticulae with surrounding pockets of free air adjacent to the jejunal diverticula Laparotomy-2 pin hole perforations-primary closure NA [23 ]
