Jejunal diverticulosis with enterolith - presenting as acute intestinal obstruction

The case of a 55-year male, who had acute small intestinal obstruction due to jejunal diverticuli and a large (5 x 4 cm) stone (enterolith) is presented here. The stone however could not be detected before surgery on plain X-ray abdomen. The patient was resuscitated and within a few hours taken up for surgery. Barring an inflammatory band from jejunum till sigmoid colon, rest of the colon was normal. Resection of jejunal segment bearing four large diverticuli was performed and stone was removed from distal end of resection. Although, diverticulosis is rare and an unsuspected cause of acute small intestinal obstruction, it occurs in about 1-7% of cases. This case being an emergency, the investigations were limited and the diagnosis and treatment plan was to be decided at laparotomy