Acute ulcerative jejunal diverticulitis:Case report of an uncommon entity

查看全文 作　　者：Wojciech [1]Staszewicz;Michel [1]Christodoulou;Stefania [2]Proietti;Nicolas [1]Demartines

机构地区：[1]Service de Chirurgie Viscerale,Centre Hospitalier Universitaire Vaudois;[2]Service de Radiologie,Centre Hospitalier Universitaire Vaudois

出　　处：《World Journal of Gastroenterology》索引2008年第14卷第40期,共3页

摘　　要：Jejunal diverticulosis is a rare entity with variable clinical and anatomical presentations.Its reported incidence varies from 0.05% to 6%.Although there is no consensus on the management of asymptomatic jejunal diverticular disease,some complications are potentially life threatening and require early surgical treatment.We report a case of an 88-year-old man investigated for acute abdominal pain with a high biological inflammatory syndrome.Inflammation of multiple giant jejunal diverticulum was discovered at abdominal computed tomography (CT).As a result of the clinical and biological signs of early peritonitis,an emergency surgical exploration was performed.The first jejunal loop showed clear signs of jejunal diverticulitis.Primary segmental jejunum resection with end-to-end anastomosis was performed.Histopathology report confirmed an ulcerative jejunal diverticulitis with imminent perforation and acute local peritonitis.The patient made an excellent rapid postoperative recovery.Jejunal diverticulum is rare but may cause serious complications.It should be considered a possible etiology of acute abdomen,especially in elderly patients with unusual symptomatology.Abdominal CT is the diagnostic tool of choice.The best treatment is emergency surgical management. 关键词：空肠憩室憩室炎外科手术 X线断层摄影术

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Acute ulcerative jejunal diverticulitis:Case report of an uncommon entity

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