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Updated: Nov 17, 2025
Murine Ileocolic Bowel Resection with Primary Anastomosis
Published on: October 29, 2014
Isolated perforated jejunal diverticulitis: a case report
William P Duggan1, Akshaya Ravi1, Muhammad A Chaudhry1
1Department of Surgery, Wexford General Hospital, Newtown Rd, Carricklawn, Wexford Y35 Y175, Ireland.
Abstract:
Jejunal diverticulosis is a rare phenomenon often identified either incidentally on imaging or intra-operatively. Complications of jejunal diverticulosis are associated with high rates of mortality. For this reason, it remains important that this pathology is considered amongst differentials for an acute abdomen. A 78-year old gentleman presented with a short history of generalized lower abdominal pain. Computer tomography scan revealed a large inflammatory abscess relating to a perforated jejunal diverticulum. The patient was taken to theatre where he underwent small bowel resection with primary anastomosis. Early cross sectional imaging is vital to allow early diagnosis and prompt management of this pathology. Small bowel resection with primary anastomosis was associated with an excellent clinical outcome.
Insights
Jejunal diverticulosis, a rare condition, can cause serious complications like abscesses. Prompt diagnosis with imaging and surgical intervention, such as small bowel resection, leads to excellent outcomes.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Jejunal diverticulosis is a rare condition, often asymptomatic and discovered incidentally.
- Complications of jejunal diverticulosis carry significant mortality risks, necessitating its consideration in acute abdominal pain differential diagnoses.
Observation:
- A 78-year-old male presented with acute lower abdominal pain.
- Computed tomography revealed an inflammatory abscess associated with a perforated jejunal diverticulum.
Findings:
- The patient underwent successful small bowel resection with primary anastomosis.
- This surgical approach resulted in an excellent clinical outcome.
Implications:
- Early diagnosis of jejunal diverticulosis through cross-sectional imaging is crucial for timely management.
- Surgical intervention, including small bowel resection and anastomosis, is an effective treatment for complicated jejunal diverticulosis.
