Acute Abdomen – Rare Cause, Accurate Diagnosis, Simple Solution
Corresponding AuthorEunice Vieira e Monteiro
General Surgery Service, Centro Hospitalar Universitário do Porto, Porto, Portugal
A B S T R A C T
Jejunal diverticulitis is a rare disease with higher prevalence among patients between 60 and 70 years and slightly more common in men. They are false diverticula located predominantly on the mesenteric side of the bowel but 10% develop complications which result in major surgery and high overall mortality. Authors report a case of a 63-year-old patient who presented to our department with small bowel perforation. Patient was taken to the operating room where he underwent exploratory laparotomy; intra-operatively a perforated jejunal diverticula with thickened adjacent mesentery and fibrinous debris was found. The surgical option was segmental enterectomy of 20cm, 15cm apart from the angle of Treitz. Perforation of jejunal diverticula should be considered in the differential diagnosis in elderly male patients presenting with an acute abdomen at the emergency department. The diagnosis is challenging and bowel resection with primary anastomosis is the treatment of choice. Although the disease is extremely rare it is important to be aware of the mortality rates associated with delay in the diagnosis and intervention.
Article TypeCase Report
Publication historyReceived: Tue 27, Oct 2020
Accepted: Wed 18, Nov 2020
Published: Mon 07, Dec 2020
Copyright© 2021 Eunice Vieira e Monteiro. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository. All rights reserved.