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Surgically Managed Perforated Jejunal Diverticulitis.

Vlad Vayzband¹, Hamza Ashraf¹, Paola Esparragoza²

¹Internal Medicine, Saint Peter's University Hospital, New Brunswick, USA.

|August 2, 2021

Summary

A perforated jejunal diverticulitis caused severe abdominal pain in an elderly male. Prompt surgical intervention was required after conservative management failed, highlighting critical diagnostic considerations.

Keywords:

diverticular disease dysmotility intraluminal pressure jejunal diverticulitis jejunal perforation peritonitis small bowel diverticulosis

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Area of Science:

Gastroenterology
Surgical Gastroenterology
Emergency Medicine

Background:

Elderly patients with chronic constipation can present with acute abdominal pain.
Jejunal diverticulitis is a rare cause of acute abdomen, particularly in older individuals.

Observation:

A 71-year-old male presented with acute severe abdominal pain and signs of peritonitis.
Initial vital signs were benign, but CT scan revealed a perforated jejunal diverticulitis.

Findings:

Conservative management with IV fluids, antibiotics, and analgesia was initiated.
Surgical intervention, including jejunal resection and primary anastomosis, was necessary due to lack of improvement.

Implications:

This case underscores the importance of considering rare diagnoses like jejunal diverticulitis in the differential diagnosis of acute abdomen in the elderly.
Early recognition and appropriate management, including surgical intervention when indicated, are crucial for favorable outcomes.