Bowel Perforation Due to Complicated Jejunal Diverticulitis: A Rare Case Report and Literature Review

Review Data

Q: Is the topic relevant to the journal area of interest? Is it contemporary and interesting for researchers?

A: Very Good

Abstract & Keywords

Q: Are all required components included in the abstract? Are the keywords appropriately chosen?

A: Very Good

Goal

Q: Is the goal explicitly stated in the Introduction? Is its formulation clear and unambiguous?

A: Good

Structure

Q: Is the paper's structure coherent? Is it in coherence with the goal of the paper?

A: Very Good

Tools and Methods

Q: Are methods the author uses adequate and well used?

A: Very Good

Discussion & Conclusion

Q: Is it related to the results presented before? Do you consider them as coherent?

A: Good

Comments:

The Discussion states that small bowel diverticulosis, usually asymptomatic, is a very rare event, with an increased prevalence at the duodenal level followed by the jejunal-ileal area. Bowel perforation, one of the most feared complications, if not treated promptly can lead to a rapid decline in patient's prognosis with increased mortality rates. This section discusses the approaches that can be used treat this complication. Relevant literature has been cited in the study. The study concludes that early diagnosis, with CT-scan as the radiological gold standard, is essential to rapidly identify the diverticulitis grade and treat the condition to avoid worsening of the patient's prognosis.

Literature

Q: Does the author utilize relevant literature?

A: Very Good

Author's knowledge

Q: What is the level of author’s knowledge? Does the author utilize all recent contributions relevant to the topic?

A: Very Good

Length

Q: Is the length of the paper adequate to the significance of the topic? Do you suggest shortening the paper without losing its value?

A: Very Good

Figures & Tables

Q: Does the author use them suitably? Are legend and notations clear?

A: Very Good

Writing style

Q: Is it clear and understandable?

A: Good

Further comments on the paper

Comments:

This report presents the rare case of bowel perforation caused by complicated jejunal diverticulitis in a 65-year-old man who presented with abdominal pain and fever. Small bowel diverticulosis is usually diagnosed incidentally. In this case, CT-scan revealed multiple jejunal diverticular eversions and oedema of the surrounding tissues. An urgent laparotomy confirmed the radiological finding was indeed micro-perforation of one diverticulum. The jejunal segment was resected and a mechanical latero-lateral anastomosis was successfully performed to restore bowel continuity. The study concludes that although asymptomatic small bowel diverticula usually do not require any treatment, cases similar to that reported could be life-threatening. Diagnosis and management of this condition can be challenging. This condition could lead to potentially fatal complications, such as bowel perforation, in which urgent surgical treatment is warranted.

Q: Would you recommend this manuscript for further publication?

A: Yes - Suitable to be published

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Science Repository Team