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Perforated jejunal diverticula in a young woman: A case report
Sem F Hardon1, Frank C den Boer1, Tarik Aallali2
1Department of Surgery, Zaans Medical Center, Zaandam, the Netherlands; Department of Surgery, Amsterdam UMC - VU University Medical Center, Amsterdam, the Netherlands.
Insights
Small bowel diverticulosis is a rare condition that can lead to serious complications like perforation. Prompt diagnosis and surgical intervention, such as segmental resection, are crucial for managing this rare small bowel condition.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Small bowel diverticulosis is an uncommon condition.
- It often presents asymptomatically until complications arise.
Observation:
- A young woman presented with acute abdominal pain and signs of small bowel perforation.
- Exploratory laparotomy revealed multiple perforated jejunal diverticula (JD).
Findings:
- The patient underwent successful segmental resection of the jejunum with primary anastomosis.
- Pathological examination confirmed the diagnosis of perforated JD.
Implications:
- Diagnosing small bowel diverticulosis can be challenging due to its rarity and varied presentation.
- Segmental resection followed by restoration of bowel continuity is the preferred surgical approach for perforated JD.
Introduction And Importance:
Small bowel diverticulosis is a rare condition. It usually remains asymptomatic and undiscovered, until potentially severe complications such as diverticulitis or even perforation occur. We present an unusual case and discuss the pathophysiology, diagnostics strategies, and possible surgical intervention.
Case Presentation:
A young woman was referred to our emergency department suffering from acute abdominal pain. A computed tomography scan showed signs of small bowel perforation of unknown origin. Exploratory laparotomy revealed multiple perforated jejunal diverticula (JD). The patient underwent segmental resection of the affected jejunum followed by primary anastomosis. Pathological examination confirmed the diagnosis of perforated JD.
Conclusions:
Due to its rarity and variable clinical presentation, it can sometimes be challenging to diagnose this potentially life-threatening condition. If the bowel is suspected from perforation; segmental resection is the treatment of choice, preferably followed by direct restoration of the bowel continuity.
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