{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T15:28:05Z","timestamp":1787239685956,"version":"build-2736575974"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2024,4,1]],"date-time":"2024-04-01T00:00:00Z","timestamp":1711929600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,4,1]],"date-time":"2024-04-01T00:00:00Z","timestamp":1711929600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,3,15]],"date-time":"2024-03-15T00:00:00Z","timestamp":1710460800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Jejunal diverticulosis has not gained significant attention because of its rarity and typically asymptomatic course as well as the relative diagnostic inaccessibility of the jejunum. This report presents a rare case of jejunal diverticulosis complicated with chronic interstitial and mesenteric adhesions, chronic mesenteric volvulus, and decompensated small-bowel obstruction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Presentation of case:<\/jats:title>\n                    <jats:p>\n                      An 84-year-old man was admitted to the emergency room with a 24-h history of acute colicky abdominal pain. He denied other signs or symptoms. The preoperative diagnosis based on physical and radiologic evaluations was challenging, and\n                      <jats:italic toggle=\"yes\">only diagnostic laparoscopy revealed extensive small-bowel diverticulosis. Midline laparotomy was performed as definitive surgery, revealing<\/jats:italic>\n                      diverticulosis in the proximal 2-m section of the jejunum, starting approximately 20 cm from Treitz's ligament; the affected section was resected. The postoperative recovery was excellent. The histopathologic report confirmed substantial jejunal diverticulosis with chronic fibrosis, adhesions, and strictures.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>Histopathologic evaluation is necessary because tumors can be misdiagnosed as diverticula. This case report should serve as a reminder for surgeons to be cognizant of the signs of uncommon conditions, such as jejunal diverticulosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Albeit rare, jejunal diverticulosis should be considered in the differential diagnosis of acute abdomen.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2024.109549","type":"journal-article","created":{"date-parts":[[2024,3,19]],"date-time":"2024-03-19T12:51:52Z","timestamp":1710852712000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Case report: Jejunal diverticulosis with chronic interstitial and mesenteric adhesions, chronic mesenteric volvulus, and decompensated small-bowel obstruction"],"prefix":"10.1097","volume":"117","author":[{"given":"Sarlote Agate","family":"Vanka","sequence":"first","affiliation":[{"name":"Faculty of Medicine, Riga Stradins University, Dzirciema street 16, Riga LV-1007, Latvia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janis","family":"Rudzitis","sequence":"additional","affiliation":[{"name":"Department of Surgery, Riga Stradins University, Dzirciema street 16, Riga LV-1007, Latvia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ingus","family":"Skadins","sequence":"additional","affiliation":[{"name":"Department of Biology and Microbiology, Riga Stradins University, Dzirciema street 16, Riga LV-1007, Latvia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juta","family":"Kroica","sequence":"additional","affiliation":[{"name":"Department of Biology and Microbiology, Riga Stradins University, Dzirciema street 16, Riga LV-1007, Latvia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sintija","family":"Miluna-Meldere","sequence":"additional","affiliation":[{"name":"Department of Biology and Microbiology, Riga Stradins University, Dzirciema street 16, Riga LV-1007, Latvia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janis","family":"Dreijers","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Riga Stradins University, Dzirciema street 16, Riga LV-1007, Latvia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-87-20260423","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1097\/MCG.0b013e3181919261","article-title":"Small intestinal nonmeckelian diverticulosis","volume":"43","author":"Makris,","year":"2009","journal-title":"J. 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North Am."},{"key":"R8-87-20260423","first-page":"517","article-title":"Jejuno-ileal diverticulosis : a review of literature","volume":"81","author":"Ceuppens,","year":"2018","journal-title":"Acta Gastroenterol. Belg."},{"issue":"10","key":"R9-87-20260423","first-page":"1527","article-title":"Multiple giant jejunal diverticulosis: a rare clinical presentation of a rarely encountered disease","volume":"28","author":"Al,","year":"2022","journal-title":"Ulus. Travma Acil Cerrahi Derg."},{"key":"R10-87-20260423","doi-asserted-by":"crossref","first-page":"1286","DOI":"10.2214\/AJR.07.3087","article-title":"Jejunal diverticulosis: findings on CT in 28 patients","volume":"190","author":"Fintelmann,","year":"2008","journal-title":"AJR Am. J. 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