Penetration and Perforation of Terminal Ileum Diverticulitis

A rare case of terminal ileum diverticulosis in a-32-year old woman

Introduction

and importance: Acquired small bowel diverticulosis is rare 1% and the ileum is the less frequent occurring site 15%. Most cases were multiple and asymptomatic. This is the first case of perforated terminal ileum diverticula in a 32-year-old woman and successfully managed surgically.

Case presentation

We describe a rare case of terminal ileal diverticulosis, one of the diverticula was perforated, in a 32-year-old female who presented with a 2-days history of sudden epigastric and periumbilical pain and had been managing surgically. At surgery, we found multiple diverticula, one of them was perforated. Microscopically, the specimen confirmed that the diagnosis was diverticulosis.

Conclusion

Diverticulosis should be included in the differential diagnosis of a sudden epigastric and periumbilical pain even in this age.

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Small bowel diverticulosis is not common comparing with colonic diverticulosis and occurs in up to 1% of patients.

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Diverticula is more common in males than females.

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We report a case of terminal ileum diverticulosis and a perforation of one diverticulum.