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[Non-surgical management of small bowel diverticulitis with localized perforation:a case report]

Yosuke Kunishi1, Yuichi Kurakami2, Koichiro Yoshie2

  • 1Department of Gastroenterology, Kanagawa Prefectural Ashigarakami Hospital.

Nihon Shokakibyo Gakkai Zasshi = the Japanese Journal of Gastro-Enterology
|April 14, 2020
PubMed

Insights

This case report details a rare instance of jejunal diverticulitis with localized perforation in a 40-year-old man. Conservative management with antibiotics and bowel rest successfully resolved the condition without surgery.

Area of Science:

  • Gastroenterology
  • Abdominal Imaging
  • Surgical Case Reports

Background:

  • Small bowel diverticulitis is an uncommon condition.
  • Accurate diagnosis relies on meticulous interpretation of imaging studies.
  • Jejunal diverticula can lead to complications like diverticulitis and perforation.

Observation:

  • A 40-year-old male presented with periumbilical pain and fever.
  • Computed tomography revealed multiple jejunal diverticula with localized extraluminal air and surrounding panniculitis.
  • Suspected diagnosis was jejunal diverticulitis with localized perforation.

Findings:

  • The patient exhibited mild symptoms and localized extraluminal air.
  • Conservative treatment, including bowel rest and antibiotics, was initiated.
  • The patient's symptoms resolved completely without surgical intervention.

Implications:

  • This case highlights the possibility of non-surgical resolution for select cases of small bowel diverticulitis.
  • Emphasizes the importance of detailed imaging analysis for diagnosing rare gastrointestinal conditions.
  • Suggests that conservative management may be a viable option for uncomplicated jejunal diverticulitis with localized perforation.

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