Perforation of jejunal diverticulum with ectopic pancreas

被引：4

作者：

Shiratori H. ^{[1
]}

Nishikawa T. ^{[1
]}

Shintani Y. ^{[2
]}

Murono K. ^{[1
]}

Sasaki K. ^{[1
]}

Yasuda K. ^{[1
]}

Otani K. ^{[1
]}

Tanaka T. ^{[1
]}

Kiyomatsu T. ^{[1
]}

Hata K. ^{[1
]}

Kawai K. ^{[1
]}

Nozawa H. ^{[1
]}

Ishihara S. ^{[1
]}

Fukayama M. ^{[2
]}

Watanabe T. ^{[1
]}

机构：

[1] Department of Surgical Oncology, Faculty of Medicine, The University of Tokyo, 3-1 Hongo 7-chome, Bunkyo-ku, Tokyo

[2] Department of Pathology, The University of Tokyo, 3-1 Hongo 7-chome, Bunkyo-ku, Tokyo

来源：

Clinical Journal of Gastroenterology | 2017年 / 10卷 / 2期

基金：

日本学术振兴会;

关键词：

Diverticulosis; Ectopic pancreas; Jejunal diverticulum; Perforation;

D O I：

10.1007/s12328-017-0712-9

中图分类号：

学科分类号：

摘要：

Perforation of jejunal diverticulum is a rare complication. Here, we report a case of jejunal diverticulum penetration with surrounding ectopic pancreas. An 83-year-old female patient was admitted to our department with acute onset of severe abdominal pain lasting for half a day. Abdominal computed tomography showed outpouching of the small intestine that contained air/fluid, with multiple surrounding air bubbles in the mesentery of the small intestine. She was diagnosed with penetration of the small intestine, and an emergency laparotomy was indicated. The penetrated jejunal diverticulum was identified ~20-cm distal to the ligament of Treitz. Partial resection of the jejunum was performed, and her postoperative course was uneventful. The pathological findings confirmed diverticulum penetration into the mesentery and severe inflammation at the site, with surrounding ectopic pancreas. Furthermore, the pancreatic ducts were opened through the penetrated diverticulum. This rare case shows that the ectopic pancreas might have caused penetration of jejunal diverticulum owing to the pancreatic duct opening through the diverticulum. © 2017, Japanese Society of Gastroenterology.

引用

页码：137 / 141

页数：4

共 24 条

[1]

Longo W.E., Vernava A.M., Clinical implications of jejunoileal diverticular disease, Dis Colon Rectum, 35, 4, pp. 381-388, (1992)

[2]

Liu C.Y., Chang W.H., Lin S.C., Et al., Analysis of clinical manifestations of symptomatic acquired jejunoileal disease, World J Gastroenterol, 11, 35, pp. 5557-5560, (2005)

[3]

Prakash C., Clouse R.E., Acute ileal diverticulitis, Am J Gastroenterol, 93, 3, pp. 452-454, (1998)

[4]

Singh S., Sandhu H.P.S., Aggarwal V., Perforated jejunal diverticulum: a rare complication, Saudi J Gastroenterol, 81, 5, pp. 358-361, (2011)

[5]

Staszewicz W., Christodoulou M., Proietti S., Et al., Acute ulcerative jejunal diverticulitis: case report of an uncommon entity, World J Gastroenterol, 14, 40, pp. 6265-6267, (2008)

[6]

Benya E.C., Ghahremani G.G., Brosnan J.J., Diverticulitis of the jejunum: clinical and radiological features, Gastrointest Radiol, 16, 1, pp. 24-28, (1991)

[7]

Hibbeln J.F., Gorodetsky A.A., Wilbur A.C., Perforated jejunal diverticulum: CT diagnosis, Abdom Imaging, 20, 1, pp. 29-30, (1995)

[8]

Koger K.E., Shatney C.H., Dirbas F.M., Et al., Perforated jejunal diverticula, Am Surg, 62, 1, pp. 26-29, (1996)

[9]

Lucia G., Inigo P., Ramiro M., Et al., Jejuno-ileal diverticulitis with localized perforation: CT and US findings, Eur J Radiol, 71, 2, pp. 318-323, (2009)

[10]

De Bree E., Grammatikakis J., Christodoulakis M., Et al., The clinical significance of acquired jejunoileal diverticula, Am J Gastroenterol, 93, 12, pp. 2523-2528, (1998)

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