Prague Med. Rep. 2026, 127, 48-50
Jejunal Diverticulitis: A Diagnostic and Therapeutic Overview
, Marcelo de Queiroz Pereira da Silva2, Thaís Nogueira Dantas Gastaldi3, Márcio Luís Duarte3,4
1Faculdade de Ciências Médicas de Santos, Santos (SP), Brazil
2WEBMAGEM Telerradiologia, São Paulo (SP), Brazil
3Diagnósticos da América S. A. – DASA, São Paulo (SP), Brazil
4Universidade de Ribeirão Preto (UNAERP) – Campus Guarujá, Guarujá (SP), Brazil
Received June 21, 2025
Accepted February 26, 2026
Jejunal diverticulitis is a rare and often underdiagnosed condition characterized by inflammation of jejunal diverticula, more commonly seen in elderly patients with comorbidities. While most cases remain asymptomatic and are incidentally discovered during imaging studies, some patients may present with nonspecific symptoms such as abdominal pain and discomfort. The diagnosis is challenging due to its low prevalence and non-specific clinical presentation, often mimicking other causes of acute abdomen like appendicitis or colonic diverticulitis. Computed tomography with intravenous contrast is considered the gold standard for identifying diverticula, associated inflammatory changes, and potential complications. Ultrasound can also aid in diagnosis in certain cases. Management depends on the clinical severity. Uncomplicated cases generally respond well to conservative treatment with antibiotics and supportive care, while complicated cases may require surgical intervention. Early recognition and appropriate management are essential to prevent severe complications, such as perforation, bleeding, or obstruction, and to improve patient outcomes.
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This is an open-access article distributed under the terms of the Creative Commons Attribution License.
