Jejunal Diverticulitis Mimicking Small Bowel Perforation: Case Report and Review of the Literature
| Autor: | Antonios Koutras, Nikolaos Bourganos, Prokopis Andreas Zotos, Sofia Koura, Evangelia Triantafyllou, Athanasios Syllaios, Aristotelis Liakos |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Fistula Perforation (oil well) Peritonitis Diagnosis Differential 03 medical and health sciences 0302 clinical medicine Laparotomy Intestine Small medicine Humans Abscess Diverticulitis business.industry General surgery Jejunal Diseases Emergency department medicine.disease Intestinal Perforation 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology Surgery Differential diagnosis business |
| Zdroj: | Chirurgia. 113:576 |
| ISSN: | 1221-9118 |
| DOI: | 10.21614/chirurgia.113.4.576 |
| Popis: | Jejunal diverticulitis is a rare entity with a higher prevalence among patients between 60 and 70 years. Jejunal diverticula are most often considered an incidental finding, but, they can have complications such as diverticulitis, perforation, abscess, generalized peritonitis, fistula, obstruction and bleeding.Setting the diagnosis still remains challenging. Physicians should be aware of their existence and the clinical suspicion should be raised, especially in the setting of acute abdominal pain where jejunal diverticulitis should be included in the differential diagnosis. A small amount of free air adjacent to the small bowel can be confusing and easily misdiagnosed as small bowel perforation, but, it can actually be found as a result of the inflammation itself without macroperforation or complications.This fact can change the therapeutic strategy to less aggressive, conservative treatments. We present a case of a patient coming to the emergency department with acute abdominal pain, signs of peritonitis, a small amount of extraluminal air, and jejunal diverticulitis without perforation was diagnosed on laparotomy, and a review of the current literature. |
| Databáze: | OpenAIRE |
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