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BMJ Case Rep. 2013 Apr 22;2013. pii: bcr2013009335. doi: 10.1136/bcr-2013-009335.

Antimesenteric jejunal diverticulosis after a remote history of necrotising enterocolitis: a case report.

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  • 1Department of General Surgery, Cleveland Clinic Foundation, Cleveland, Ohio, USA. monteir@ccf.org

Abstract

Jejunal diverticulosis is a rare, acquired pathology of the small bowel. While most patients are asymptomatic, the condition is difficult to diagnose. It may present with chronic abdominal pain, diarrhoea, bloating and complications including malabsorption, diverticulitis, bleeding, intestinal obstruction or perforation. This is a case presentation of a 27-year-old woman with a history of necrotising enterocolitis (NEC) requiring surgical resection as a premature newborn who presented with recurrent abdominal pain and was found to have several small bowel diverticula intraoperatively. She underwent resection with complete resolution of symptoms over a 2-year follow-up. This is the first case report to suggest that small bowel diverticular disease as a long-term complication of NEC may result in chronic morbidity in long-term survivors.

PMID:
23608869
[PubMed - indexed for MEDLINE]
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