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Rare Cause of Left Upper Abdominal Pain
Bibiana Aiyegbeni1, Saleem Jonnalagadda2, Lee Creedon2
1Grantham and District Hospital, Grantham, United Kingdom. bibiana.aiyegbeni@yahoo.co.uk.
Prague Medical Report
|June 17, 2021
Summary
Jejunal diverticulitis, a rare cause of abdominal pain, can be serious but was successfully managed conservatively in this case. Early diagnosis and treatment with antibiotics and analgesia resolved the inflammation, avoiding surgery.
Area of Science:
- Gastroenterology
- Abdominal Surgery
Background:
- Small bowel diverticular disease is rare, affecting 0.3-2% of the population.
- It is associated with a high mortality rate (20-25%) due to complications like perforation, bleeding, and obstruction.
Observation:
- A 70-year-old male with type 2 diabetes and sigmoid diverticulosis presented with left upper quadrant pain.
- Computerised tomography revealed jejunal diverticulitis and a duodenal diverticulum.
- The patient was hemodynamically stable with elevated inflammatory markers.
Findings:
- Conservative management with intravenous antibiotics and analgesia was successful.
- Follow-up imaging confirmed resolution of the jejunal diverticulitis.
Implications:
- This case highlights the potential for successful conservative management of jejunal diverticulitis with early diagnosis.
- It suggests that a non-operative approach may be a viable option, challenging previous assumptions about surgical intervention.
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