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Indian Journal of Surgery
Medknow Publications on behalf of Association of Surgeons of India
ISSN: 0972-2068
Vol. 68, No. 5, 2006, pp. 275-277
Bioline Code: is06078
Full paper language: English
Document type: Research Article
Document available free of charge

Indian Journal of Surgery, Vol. 68, No. 5, 2006, pp. 275-277

 en Case Report- Small intestinal diverticulosis presenting as anasarca
Harish K, Harikumar R, Thomas V, Feroze M, Rajan P

Abstract

Diverticulosis of the small bowel is uncommon. Most cases are asymptomatic and are often discovered incidentally. Small intestinal diverticulosis presenting as anasarca and leading to life-threatening complications is very unusual. We report a 20-year-old male who presented with chronic small bowel diarrhea, ascites and generalized edema. Barium studies and CT abdomen showed evidence of a large diverticulum arising from the small bowel. He developed intestinal obstruction and perforation requiring exploratory laparotomy which showed one large and several small diverticula in the ileum. Resection and end-to-end anastomosis was done, but in the postoperative period he succumbed to unrelenting septicemia. Histopathology of the excised small intestine was consistent with visceral myopathy.

Keywords
Anasarca, ascites, intestinal obstruction, malnutrition, perforation, small-bowel diverticulosis

 
© Copyright 2006 Indian Journal of Surgery.

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