| Popis: |
A 70-year-old woman had recurrent spontaneous perforations of the jejunum. The first perforation, located 40 cm distal to the ligament of Treitz, was treated by debridement and suture closure. The second perforation, 2 months later, was located 20 cm distal to the first perforation and was treated by resection and primary anastomosis. On both occasions the postoperative course was uneventful and at follow-up 4 years later there were no gastrointestinal complaints. The resected specimen revealed a thinner-than-normal muscularis propria, most probably of congenital origin. |
