{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T01:46:41Z","timestamp":1760233601481,"version":"build-2065373602"},"reference-count":11,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2021,1,28]],"date-time":"2021-01-28T00:00:00Z","timestamp":1611792000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>Background: Jejunal diverticulosis and jejunal lipomatosis are uncommon conditions. Usually asymptomatic, they may cause severe complications in some cases. Intussusception is unusual in adults, but when diagnosed swiftly it can be treated surgically, usually with good outcome. Case presentation: We present a 60-year-old female patient with a history of chronic malnutrition and anemia, complaining of acute abdominal pain, vomiting and diarrhea. Contrast-enhanced abdominal computed tomography (CT) showed intussusception, multiple giant jejunal diverticula and multiple lipomas. The patient underwent urgent surgery, but radical treatment was not possible due to the extent of the diseases. One month later, another surgery was needed due to ileostomy obstruction caused by lipomas. The patient\u2019s condition deteriorated due to malnutrition and concomitant metabolic disorders, which eventually led to her demise. Conclusions: Radical treatment is not always possible in an extensive jejunal disease. Prolonged malnutrition impairs postoperative healing, and therefore surgical or nutritional treatment should be considered in jejunal diverticulosis before the onset of severe complications requiring urgent surgical intervention.<\/jats:p>","DOI":"10.3390\/medicina57020116","type":"journal-article","created":{"date-parts":[[2021,1,28]],"date-time":"2021-01-28T05:23:05Z","timestamp":1611811385000},"page":"116","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Small Intestinal Intussusception Due to Complicated Giant Jejunal Diverticulosis"],"prefix":"10.3390","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2283-0286","authenticated-orcid":false,"given":"Ewa","family":"Grudzi\u0144ska","sequence":"first","affiliation":[{"name":"Department of Gastrointestinal Surgery, Medical University of Silesia, 40-752 Katowice, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2206-3144","authenticated-orcid":false,"given":"S\u0142awomir","family":"Mrowiec","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery, Medical University of Silesia, 40-752 Katowice, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joanna","family":"Pilch-Kowalczyk","sequence":"additional","affiliation":[{"name":"Department of Radiology, Medical University of Silesia, 40-752 Katowice, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Monika","family":"Ciupi\u0144ska","sequence":"additional","affiliation":[{"name":"Department of Pathomorphology and Molecular Diagnostics, Medical University of Silesia, 40-752 Katowice, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8374-028X","authenticated-orcid":false,"given":"Katarzyna","family":"Kusnierz","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery, Medical University of Silesia, 40-752 Katowice, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2021,1,28]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s11894-019-0741-2","article-title":"Small Bowel Diverticulosis: Pathogenesis, Clinical Management, and New Concepts","volume":"22","author":"Rangan","year":"2020","journal-title":"Curr. Gastroenterol. Rep."},{"key":"ref_2","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. Clin. Gastroenterol."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"407","DOI":"10.3748\/wjg.15.407","article-title":"Intussusception of the bowel in adults: A review","volume":"15","author":"Marinis","year":"2009","journal-title":"World J. Gastroenterol."},{"key":"ref_4","unstructured":"Brill, A., and Lopez, R.A. (2020, December 15). Intussusception in adults, StatPearls [Internet], Treasure Island (FL), Available online: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK545264\/."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1159\/000051395","article-title":"Jejunal diverticuli complicated by bacterial overgrowh syndrome","volume":"18","author":"Storch","year":"2000","journal-title":"Dig. Dis."},{"key":"ref_6","first-page":"383","article-title":"Small-bowel diverticulosis: Perceptions and reality","volume":"184","author":"Akhrass","year":"1997","journal-title":"J. Am. Coll. Surg."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"643","DOI":"10.1159\/000051978","article-title":"Jejunal Diverticulosis: A Rare Entity with Multiple Presentations, a Series of Cases","volume":"17","author":"Zager","year":"2000","journal-title":"Dig. Surg."},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"Kirstein, A.S., Augustin, A., Penke, M., Cea, M., K\u00f6rner, A., Kiess, W., and Garten, A. (2019). The Novel Phosphatidylinositol-3-Kinase (PI3K) Inhibitor Alpelisib Effectively Inhibits Growth of PTEN-Haploinsufficient Lipoma Cells. Cancers, 11.","DOI":"10.3390\/cancers11101586"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"846","DOI":"10.1007\/s005950050239","article-title":"Jejunal lipomatosis with diverticulosis: Report of a case","volume":"28","author":"Yakabe","year":"1998","journal-title":"Surg. Today"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"e922830-1","DOI":"10.12659\/AJCR.922830","article-title":"Acute Intestinal Infarction Due to Diffuse Jejunoileal and Mesenteric Lipomatosis in a 39-Year-Old Woman","volume":"21","author":"Cojocari","year":"2020","journal-title":"Am. J. Case Rep."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"030","DOI":"10.1055\/s-0036-1593429","article-title":"Intestinal Intussusception: Etiology, Diagnosis, and Treatment","volume":"30","author":"Marsicovetere","year":"2016","journal-title":"Clin. Colon Rectal Surg."}],"container-title":["Medicina"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1648-9144\/57\/2\/116\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T05:16:24Z","timestamp":1760159784000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1648-9144\/57\/2\/116"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1,28]]},"references-count":11,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2021,2]]}},"alternative-id":["medicina57020116"],"URL":"https:\/\/doi.org\/10.3390\/medicina57020116","relation":{},"ISSN":["1648-9144"],"issn-type":[{"type":"electronic","value":"1648-9144"}],"subject":[],"published":{"date-parts":[[2021,1,28]]}}}