Abstract: Objective and Method To retrospectively summarize the pathological features and management of small bowel diverticula of in 32 cases. Results Complications of small bowel diverticula were effectively treated surgically with good short-term and long-term clinical outcomes.The diverticulum found during the abdominal operation should be treated in time.The complications from the small intestine diverticulum included inflammation,bleeding,stone,perforation and bowel obstruction which arised from the stagnation,impaction,and friction of the contents in the diverticulum or from adhesion zone of long diveritculum.The complications were closely related to the histology of diverticular wall,the type of heterotopic tissue of diverticular mucosa,morphology of the diverticulum and contents in the diverticulum. Conclusion The complications of small bowel diverticulum are the rare cause of acute abdomen which would be surgically treated effectively.