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Perforated Jejunal Diverticulitis As An Uncommon Culprit Of Acute Abdomen: A Case Report And Review Of Literature

Umar Maqbool1, Muhammad Fayzan Mehmood1, Abdullah Maqbool2

  • 1King Edward Medical University Lahore, Pakistan.

Journal of Ayub Medical College, Abbottabad : JAMC
|March 23, 2025
PubMed

Insights

Perforated jejunal diverticulitis, a rare condition, can cause acute abdomen. Prompt surgical intervention is crucial for survival, highlighting the need for high clinical suspicion in emergency cases.

Area of Science:

  • Gastroenterology
  • Surgical Emergencies

Background:

  • Small intestinal diverticula, particularly jejunal diverticulosis, are uncommon compared to colonic diverticula.
  • While often asymptomatic, jejunal diverticula can lead to acute abdominal presentations when complicated.

Purpose of the Study:

  • To highlight the importance of considering perforated jejunal diverticulitis in the differential diagnosis of acute abdomen.
  • To emphasize the critical need for timely diagnosis and surgical management of this rare condition.

Main Methods:

  • Case report of a 45-year-old male presenting with acute abdomen.
  • Diagnosis confirmed intraoperatively as perforated jejunal diverticulitis.
  • Review of clinical presentation, diagnostic modalities (CT scan), and management strategies.

Main Results:

  • The patient presented with symptoms consistent with acute abdomen, ultimately diagnosed as perforated jejunal diverticulitis.
  • Computed tomography (CT) scan identified as the optimal imaging modality for diagnosis.
  • Surgical intervention was necessary for management of the complicated diverticulitis.

Conclusions:

  • Perforated jejunal diverticulitis requires a high index of clinical suspicion due to its varied presentations.
  • Timely diagnosis and surgical intervention are paramount to reduce the high mortality rate associated with this condition.
Keywords:
Perforated jejunal diverticulitis; Small bowel diverticula; Surgical management of perforated diverticula

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