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Multiple simultaneous small intestinal diverticular penetrations.

Masahide Miyata1, Hirofumi Tazawa1, Akihisa Saito2

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Summary

This report details a rare case of multiple simultaneous jejunal diverticular penetrations in an 82-year-old male. This condition, marked by abscesses and inflammation, required surgical intervention and jejunal resection.

Keywords:
functional end-to-end anastomosissimultaneous penetrationssmall intestinal diverticulum

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Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Jejunal diverticulosis is an uncommon condition.
  • Diverticular penetrations are rare complications of jejunal diverticulosis.

Observation:

  • An 82-year-old male presented with fever and elevated C-reactive protein (CRP).
  • Computed tomography revealed two abscesses in the small intestine.
  • Emergency surgery identified multiple jejunal diverticula with abscess formation.

Findings:

  • Pathological examination confirmed acute pyogenic diverticulitis with penetration at two sites.
  • This represents the first reported case of multiple simultaneous small intestinal diverticular penetrations.
  • Surgical management involved partial jejunal resection and anastomosis.

Implications:

  • Highlights the potential for multiple simultaneous penetrations in jejunal diverticulosis.
  • Emphasizes the importance of surgical intervention for complicated jejunal diverticulitis.
  • Contributes to the limited literature on rare small intestinal diverticular complications.