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Updated: Jul 17, 2026

Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
[Perforated jejunal divertikula - a rare differential diagnosis of acute abdominal pain]
M Kleemann1, P Kujath, F Stellmacher
1Klinik für Chirurgie, Universitätsklinikum Schleswig-Holstein -- Campus Lübeck, Ratzeburger Allee 160, 23538 Lübeck. markus.kleemann@ukl.uni-luebeck.de
Unlabelled:
DIAGNOSTIC FINDINGS: We report about a 83 years old female with persisting abdominal pain for 3 days. Abdominal x-ray, as well as abdominal ultrasound examination were unsuccessful. CT scan revealed a 7 cm tumor, suspicious for abscess. OPERATION: Diagnostic laparotomy showed a 6 cm inflammatory tumor with covered perforation of a jejunal diverticula at the 4th intestinal loop distal the ligament of Treitz. We performed a segmental resection.
Follow Up:
Clinical follow-up was uneventful, the patient was without any symptoms within the first 6 months. Pre- and intraoperative pathology will be explained and discussed referring to the literature.
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