Jejunal diverticulitis: Things to know to prevent diagnostic mistake

Jejunal diverticulitis: Things to know to prevent diagnostic mistake

Authors

  • Mario Giuffrida General Surgery Unit, Parma University Hospital
  • Gennaro Perrone Emergency Surgery, Parma University Hospital
  • Salomone Di Saverio Insubria University,Faculty of Medicine and Surgery
  • Alfredo Annicchiarico General Surgery Unit, Parma University Hospital
  • Vittoria Pattonieri Emergency Surgery Unit, Parma University Hospital
  • Elena Bonati General Surgery Unit, Parma University Hospital
  • Antonio Tarasconi Emergency Surgery Unit, Parma University Hospital
  • Fausto Catena Emergency Surgery Unit, Parma University Hospital

Keywords:

jejunal diverticulitis, emergent surgery, jejunal resection

Abstract

We report a peculiar case of jejunal diverticulitis in 54-year-old female. Since hospital admission, a colonic diverticulitis was suspected. CT scan of the abdomen showed multiple fluid collections with free intraperitoneal extraluminal air, suggesting bowel perforation. A complicated acute diverticulitis of the colon was suspected but intraoperatively, a perforated acute diverticulitis of jejunum was detected. The aim of this work is to evidence the key role of CT scan of the abdomen in differential diagnosis of unfrequently pathological entities, such as jejunal diverticulitis, to prevent diagnostic mistakes.

References

Staszewicz W. CHristodoulou M, Proietti S, Dermartines N. Acute ulcerative jejunal diverticulitis: case report of an uncommon entity. World J Gastroenterol. 2015;200:6265–7.

Zager J.S., Garbus J.E., Shaw J.P., Cohen M.G., Garber S.M. Jejunal diverticulosis: a rare entity with multiple presentations, a series of cases. Dig. Surg. 2000;17:643–645.

Akhrass R, Yaffe MB, Fischer C, Ponsky J, Shuck JM. Small-bowel diverticulosis: perceptions and reality. J Am Coll Surg. 1997 Apr;184((4)):383–8.

Sibille A., Willocx R. Jejunal diverticulitis. Am. J. Gastroenterol. 1992;87:655–658.

Wilcox R.D., Shatney C.H. Surgical implications of jejunal diverticula. South Med. J. 1988;81:1386–1391.

Transue DL, Hanna TN, Shekhani H, Rohatgi S, Khosa F, Johnson JO. Small bowel diverticulitis: an imaging review of an uncommon entity. Emerg Radiol. 2017 Apr;24((2)):195–205.

De Peuter B, Box I, Vanheste R, Dymarkowski S. Small-bowel diverticulosis:imaging findings and review of three cases. Gastroenterol Res Pract. 2009;2009:549853. doi:10.1155/2009/549853

Butler J.S., Collins C.G., McEntee G.P. Perforated jejunal diverticula: a case report. J. Med. Case Rep. 2010;4(June (7)):172.

Alam S, Rana A, Pervez R. Jejunal diverticulitis: imaging to management. Ann Saudi Med. 2014;34(1):87–90. doi:10.5144/0256-4947.2014.87

Wilcox RD, Shatney CH. Surgical implications of jejunal diverticula. South Med J. 1988;81(11):1386–1391.

Gotian A, Katz S. Jejunal diverticulitis with localized perforation and intramesenteric abscess. American Journal of Gastroenterology. 1998;93(7):1173–1175.

Downloads

Published

30-04-2021

How to Cite

1.
Giuffrida M, Perrone G, Di Saverio S, Annicchiarico A, Pattonieri V, Bonati E, et al. Jejunal diverticulitis: Things to know to prevent diagnostic mistake. Acta Biomed [Internet]. 2021 Apr. 30 [cited 2024 Jul. 24];92(S1):e2021154. Available from: https://www.mattioli1885journals.com/index.php/actabiomedica/article/view/9679