Perforated jejunal diverticulitis: a rare but important differential in the acute abdomen
Abstract Background Diverticulosis of the small bowel is rare and, in most cases, discovered incidentally. However, diverticulitis and other complications are important to consider in the differential of an acute abdomen, especially in the elderly population. Case presentation The patient was a 59-y...
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doaj-10577271ee18481db26df680a11656af2020-11-25T03:44:42ZengSpringerOpenSurgical Case Reports2198-77932020-07-01611710.1186/s40792-020-00929-3Perforated jejunal diverticulitis: a rare but important differential in the acute abdomenNatasha Leigh0Brianne J. Sullivan1Roi Anteby2Susan Talbert3Department of General Surgery, Icahn School of Medicine at Mount Sinai St. Luke’s Roosevelt HospitalDepartment of General Surgery, Icahn School of Medicine at Mount Sinai St. Luke’s Roosevelt HospitalFaculty of Medicine, Tel Aviv UniversityDepartment of General Surgery, Icahn School of Medicine at Mount Sinai St. Luke’s Roosevelt HospitalAbstract Background Diverticulosis of the small bowel is rare and, in most cases, discovered incidentally. However, diverticulitis and other complications are important to consider in the differential of an acute abdomen, especially in the elderly population. Case presentation The patient was a 59-year-old female who presented with acute lower abdominal pain progressing to peritonitis. Computed tomography scan showed a large inflamed and perforated diverticulum on the mesenteric side of the jejunum. Exploratory laparotomy revealed a dilated proximal jejunum with a 5-cm inflamed and perforated mesenteric diverticulum. A small bowel resection with primary anastomosis was performed. Conclusions Jejunal diverticulitis remains a diagnostic challenge. Although uncommon, owing to its high mortality rate, it is an important clinical entity to consider and requires timely management.http://link.springer.com/article/10.1186/s40792-020-00929-3Jejunal diverticulitisAbdominal painAcute abdomenPerforationDiverticulitis |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Natasha Leigh Brianne J. Sullivan Roi Anteby Susan Talbert |
spellingShingle |
Natasha Leigh Brianne J. Sullivan Roi Anteby Susan Talbert Perforated jejunal diverticulitis: a rare but important differential in the acute abdomen Surgical Case Reports Jejunal diverticulitis Abdominal pain Acute abdomen Perforation Diverticulitis |
author_facet |
Natasha Leigh Brianne J. Sullivan Roi Anteby Susan Talbert |
author_sort |
Natasha Leigh |
title |
Perforated jejunal diverticulitis: a rare but important differential in the acute abdomen |
title_short |
Perforated jejunal diverticulitis: a rare but important differential in the acute abdomen |
title_full |
Perforated jejunal diverticulitis: a rare but important differential in the acute abdomen |
title_fullStr |
Perforated jejunal diverticulitis: a rare but important differential in the acute abdomen |
title_full_unstemmed |
Perforated jejunal diverticulitis: a rare but important differential in the acute abdomen |
title_sort |
perforated jejunal diverticulitis: a rare but important differential in the acute abdomen |
publisher |
SpringerOpen |
series |
Surgical Case Reports |
issn |
2198-7793 |
publishDate |
2020-07-01 |
description |
Abstract Background Diverticulosis of the small bowel is rare and, in most cases, discovered incidentally. However, diverticulitis and other complications are important to consider in the differential of an acute abdomen, especially in the elderly population. Case presentation The patient was a 59-year-old female who presented with acute lower abdominal pain progressing to peritonitis. Computed tomography scan showed a large inflamed and perforated diverticulum on the mesenteric side of the jejunum. Exploratory laparotomy revealed a dilated proximal jejunum with a 5-cm inflamed and perforated mesenteric diverticulum. A small bowel resection with primary anastomosis was performed. Conclusions Jejunal diverticulitis remains a diagnostic challenge. Although uncommon, owing to its high mortality rate, it is an important clinical entity to consider and requires timely management. |
topic |
Jejunal diverticulitis Abdominal pain Acute abdomen Perforation Diverticulitis |
url |
http://link.springer.com/article/10.1186/s40792-020-00929-3 |
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