Nida Rauf, Shayan Rashid Khawaja, Muhammad Ali Rauf, Khalid Farooq


A 42 year old male with a family history of gastric cancer presented to GI outdoor clinic with unexplained weight loss and anaemia. He had a history of acid peptic disease and frequently experienced upper GI symptoms. The weight loss, anorexia and low grade fever were initially suspected to be signs of underlying ulcerative pathology or malignancy. However endoscopic evaluation was negative for both. When a CT abdomen pelvis was performed as part of workup, it revealed giant diverticulosis of major portion of jejunum, a rare condition with only a handful of known cases. A literature review of this condition suggested that diverticulosis of small bowel can lead to malnutrition and possibly explains the symptoms in our patient.

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