Recurrent Non-surgical Pneumoperitoneum Due to Jejunal Diverticulosis
| Autor: | Lejla Aganovic, Yauk K. Lee, Fiona Cassidy, Pauline K. Chu |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Male
medicine.medical_specialty Unnecessary Surgery Computed tomography Jejunal diverticulosis Asymptomatic Surgical pneumoperitoneum Pneumoperitoneum Recurrence medicine Humans Pneumatosis intestinalis Aged Incidental Findings medicine.diagnostic_test business.industry Jejunal Diseases Emergency department medicine.disease Surgery body regions Diverticulum Asymptomatic Diseases Emergency Medicine Radiology medicine.symptom Tomography X-Ray Computed business |
| Zdroj: | The Journal of Emergency Medicine. 43:e175-e179 |
| ISSN: | 0736-4679 |
| Popis: | Background: The presence of free intraperitoneal gas usually warrants emergent surgery. In rare instances, however, non-surgical conditions such as jejunal diverticulosis can cause pneumoperitoneum and do not require intervention. Objectives: The objective of this article is to provide the computed tomography (CT) scan findings of jejunal diverticulosis causing pneumoperitoneum. The article will also discuss other non-surgical causes of spontaneous pneumoperitoneum to increase awareness and avoid unnecessary surgery. Case Report: We describe a case of recurrent pneumoperitoneum due to jejunal diverticulosis in which the patient remained asymptomatic and free of complications with repeated evaluations in the emergency department over the course of 18 months. Conclusion: Although spontaneous pneumoperitoneum due to jejunal diverticulosis is a rare finding, when it does occur, this condition must be distinguished from other forms of pneumoperitoneum to avoid unnecessary surgery. CT scan findings of multiple rounded, variably sized jejunal outpouchings filled with oral contrast are helpful in diagnosing jejunal diverticulosis and confirming the decision for conservative management of the patient. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect