Jejunal diverticulitis: Things to know to prevent diagnostic mistake
Main Article Content
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.
Downloads
References
2. 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.
3. 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.
4. Sibille A., Willocx R. Jejunal diverticulitis. Am. J. Gastroenterol. 1992;87:655–658.
5. Wilcox R.D., Shatney C.H. Surgical implications of jejunal diverticula. South Med. J. 1988;81:1386–1391.
6. 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.
7. 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
8. Butler J.S., Collins C.G., McEntee G.P. Perforated jejunal diverticula: a case report. J. Med. Case Rep. 2010;4(June (7)):172.
9. 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
10. Wilcox RD, Shatney CH. Surgical implications of jejunal diverticula. South Med J. 1988;81(11):1386–1391.
11. Gotian A, Katz S. Jejunal diverticulitis with localized perforation and intramesenteric abscess. American Journal of Gastroenterology. 1998;93(7):1173–1175.
Article Sidebar
Article Details
How to Cite
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Transfer of Copyright and Permission to Reproduce Parts of Published Papers.
Authors retain the copyright for their published work. No formal permission will be required to reproduce parts (tables or illustrations) of published papers, provided the source is quoted appropriately and reproduction has no commercial intent. Reproductions with commercial intent will require written permission and payment of royalties.
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.