Abstracting and Indexing

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Introduction: Jejunal diverticulitis is a rare gastrointestinal condition, predominantly affecting elderly individuals and presenting with non-specific abdominal symptoms. Its occurrence in young adults is exceedingly rare, and it seldom mimics the clinical presentation of acute appendicitis.

Methods: We reviewed cases involving patients aged 15 to 45 years who presented with right lower quadrant pain, nausea, and leukocytosis. Based on clinical assessment, all patients were initially diagnosed with acute appendicitis and underwent surgical exploration.

Results: Intraoperative findings revealed inflamed, non-perforated jejunal diverticula rather than appendicitis. Each patient underwent segmental resection of the involved jejunal segment with primary anastomosis. Postoperative recovery was uneventful in all cases.

Conclusion: These cases highlight the diagnostic difficulty of jejunal diverticulitis in young patients and its potential to mimic acute appendicitis. Surgeons should consider it in the differential diagnosis of acute abdomen, especially when intraoperative findings do not correlate with preoperative expectations. Early imaging and awareness can improve diagnostic accuracy and management outcomes.