Jejunal Diverticulitis: A Diagnostic and Therapeutic Overview

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.