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Case Report
A rare complication of jejunal diverticulae resulting in a closed loop bowel obstruction
1 General Surgery Department, Canberra Hospital, Australian Capital Territory, Australia
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Zen Zuan Yong
General Surgery Department, Canberra Hospital, Australian Capital Territory,
Australia
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Article ID: 100165Z12ZY2026
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Yong ZZ, Balasooriya J. A rare complication of jejunal diverticulae resulting in a closed loop bowel obstruction. J Case Rep Images Surg 2026;12(1):1–4.ABSTRACT
Jejunal diverticulosis (JD) is an uncommon and often underdiagnosed condition, usually discovered incidentally and rarely associated with acute complications such as diverticulitis, obstruction, abscess, perforation, or fistula formation. However, when complications do occur, they can be severe and diagnostically challenging. We present the case of a 75-year-old Female who arrived with an acute-onset abdominal pain with progressive distension and persistent vomiting. Computed tomography (CT) revealed a small bowel obstruction due to an enterolith. Emergency laparotomy revealed a small bowel obstruction at mid ileum due to an enterolith as well as an omental band adhered to the inflamed jejunal diverticulum proximally resulting in a closed loop in the affected segment of small bowel. The omental band was divided and the enterolith was removed via an enterotomy without requiring a small bowel resection. The patient was managed with antibiotics postoperatively and she made an unremarkable recovery. Closed loop small bowel obstruction as a result of complicated jejunal diverticular disease is rare in the literature and it highlights the critical importance of maintaining a high index of suspicion, particularly in older patients presenting with acute abdomen.
Keywords: Closed loop bowel obstruction, Jejunal diverticulae, Jejunal diverticulitis
SUPPORTING INFORMATION
Author Contributions
Zen Zuan Yong - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Janaka Balasooriya - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
AcknowledgmentsThis work has utilized the ChatGPT (GPT-5.1 model), developed by OpenAI, for assistance with language refinement and organization for fine tuning sentence structures.
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2026 Zen Zuan Yong et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
