Surgical treatment of an incarcerated ventral hernia with massivejejunal diverticulosis
Jejunal diverticulosis is a rare condition that often presents asymptomatically, but can occasionally lead to severe complications, such as obstruction, perforation or bleeding. We report a case of an incarcerated ventral hernia resulting from massive jejunal diverticulosis, an unusual cause of bowel obstruction. An 80-year-old female patient presented with acute abdominal pain, nausea and vomiting. Physical examination revealed a tender, irreducible mass in the epigastric region. Exploratory surgery was performed and confirmed the presence of multiple jejunal diverticula, with one segment incarcerated in the epigastric hernia. The patient underwent successful surgical repair, including liberation of the affected jejunal segment and hernia repair. This case highlights the importance of considering jejunal diverticulosis in the differential diagnosis of bowel obstruction, and emphasizes the need for prompt surgical intervention in cases of complicated diverticulosis. Early diagnosis and appropriate management are critical inpreventing the severe morbidity and mortality associated with this condition.