Perforated Jejunal Diverticulitis: Surgical and Antibiotic Management.
| Autor: | Park EG; Medicine, Alabama College of Osteopathic Medicine, Dothan, USA., Besly K; Medicine, Alabama College of Osteopathic Medicine, Dothan, USA., Kim A; Biomedical Sciences, Geisinger Commonwealth School of Medicine, Scranton, USA.; Medicine, Alabama College of Osteopathic Medicine, Dothan, USA., Boney CP; Medicine, Alabama College of Osteopathic Medicine, Dothan, USA., Mbuko S; Internal Medicine, Crestwood Medical Center, Huntsville, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2024 Aug 15; Vol. 16 (8), pp. e66952. Date of Electronic Publication: 2024 Aug 15 (Print Publication: 2024). |
| DOI: | 10.7759/cureus.66952 |
| Abstrakt: | Small bowel diverticulitis occurs at a rate of 0.06% to 1.3%, mainly in individuals over 50, peaking between ages 60 and 70. Duodenal diverticula are the most common (79% of cases), followed by jejunal or ileal diverticula (18%), and diverticula in all segments combined (3%). This condition typically presents with sporadic abdominal pain and vague gastrointestinal symptoms, making diagnosis difficult. We report an 80-year-old male who presented to the emergency department with sudden, left-sided abdominal pain and nausea due to perforated jejunal diverticulitis. Despite undergoing side-to-side jejunojejunostomy and incidental appendectomy, the patient rapidly declined and expired 45 hours post-operation due to septic shock. This case highlights the scarcity of literature on jejunal diverticulitis and its treatment guidelines. Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Park et al.) |
| Databáze: | MEDLINE |
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