Perforated Jejunal Diverticulitis

被引：15

作者：

Gurala, Dhineshreddy ^{[1
]}

Idiculla, Pretty Sara ^{[2
]}

Patibandla, Prateek ^{[1
]}

Philipose, Jobin ^{[1
]}

Krzyzak, Michael ^{[1
]}

Mukherjee, Indraneil ^{[1
]}

机构：

[1] Staten Isl Univ Hosp, Internal Med, Northwell Hlth, 525 A Liberty Ave, Staten Isl, NY 10305 USA

[2] Sree Gokulam Med Coll & Res Fdn, Med, Trivandrum, Kerala, India

来源：

CASE REPORTS IN GASTROENTEROLOGY | 2019年 / 13卷 / 03期

关键词：

Diverticulitis; Jejunum; Perforation;

D O I：

10.1159/000503896

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Small intestinal diverticula are very rare; their incidence ranges from 0.06 to 1.3%, with a higher prevalence after the 6th decade of life. Among these small intestinal diverticula, duodenal diverticula are more frequent, followed by diverticula of the jejunum and ileum. A jejunal diverticulum is usually asymptomatic; sometimes patients complain of vague chronic symptoms like malabsorption, pain, or nausea that easily lead to misdiagnosis. Complications are rarely reported, only in 10% of patients. We report a unique case of a 70-year-old female who presented with confusion due to sepsis from perforated jejunal diverticulitis, which was successfully managed with initial resuscitation and definitive surgery. (C) 2019 The Author(s) Published by S. Karger AG, Basel

引用

页码：521 / 525

页数：5

共 11 条

[1]

Akhrass R, 1997, J AM COLL SURGEONS, V184, P383

[2] Perforated jejunal diverticula: A case report [J].

Butler J.S. ;

Collins C.G. ;

McEntee G.P. .

Journal of Medical Case Reports, 4 (1)

[3] The clinical significance of acquired jejunoileal diverticula [J].

de Bree, E ;

Grammatikakis, J ;

Christodoulakis, M ;

Tsiftsis, D .

AMERICAN JOURNAL OF GASTROENTEROLOGY, 1998, 93 (12) :2523-2528

[4] Jejunal diverticulosis: Findings on CT in 28 patients [J].

Fintelmann, Florian ;

Levine, Marc S. ;

Rubesin, Stephen E. .

AMERICAN JOURNAL OF ROENTGENOLOGY, 2008, 190 (05) :1286-1290

[5] Jejuno-ileal diverticulitis: Etiopathogenicity, diagnosis and management [J].

Kassir, Radwan ;

Boueil-Bourlier, Alexia ;

Baccot, Sylviane ;

Abboud, Karine ;

Dubois, Joelle ;

Petcu, Carmen Adina ;

Boutet, Claire ;

Chevalier, Ugo ;

Montveneur, Mathias ;

Cano, Marie-Isabelle ;

Ferreira, Romain ;

Debs, Tarek ;

Tiffet, Olivier .

INTERNATIONAL JOURNAL OF SURGERY CASE REPORTS, 2015, 10 :151-153

[6] ACQUIRED JEJUNOILEAL DIVERTICULAR-DISEASE - SUBJECT REVIEW [J].

MAGLINTE, DT ;

CHERNISH, SM ;

DEWEESE, R ;

KELVIN, FM ;

BRUNELLE, RL .

RADIOLOGY, 1986, 158 (03) :577-580

[7]

SIBILLE A, 1992, AM J GASTROENTEROL, V87, P655

[8]

Singal R, 2012, J Med Life, V5, P308

[9]

Staszewicz W., 2015, WORLD J GASTROENTERO, V200

[10] Jejunal Diverticulitis Mimicking Small Bowel Perforation: Case Report and Review of the Literature [J].

Syllaios, Athanasios ;

Koutras, Antonios ;

Zotos, Prokopis A. ;

Triantafyllou, Evangelia ;

Bourganos, Nikolaos ;

Koura, Sofia ;

Liakos, Aristotelis .

CHIRURGIA, 2018, 113 (04) :576-581

← 1 2 →