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Jejunal diverticulosis with perforation and peritonitis. Case report
Acta Chirurgica Scandinavica
|January 1, 1981
Abstract:
Non-Meckelian diverticula of the jejunum and ileum are reported to occur in 0.3-4.6% of all autopsies. A case with the rare complication of perforation and peritonitis is reported. The perforated diverticulum, partly hidden by the mesenteric fat may be hard to detect. The condition should therefore be looked for specifically by the surgeon when laparotomy fails to disclose perforation in the usual locations.
Insights
Non-Meckelian diverticula, rare jejunal and ileal conditions, can perforate causing peritonitis. Surgeons must specifically search for these hidden perforations when standard laparotomy is inconclusive.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Non-Meckelian diverticula of the jejunum and ileum are uncommon congenital anomalies.
- These diverticula are found in 0.3-4.6% of autopsy cases.
Observation:
- A rare case of jejunal diverticula with perforation and subsequent peritonitis is presented.
- The perforated diverticulum was obscured by mesenteric fat, complicating diagnosis.
Findings:
- Perforation of non-Meckelian diverticula is a rare but serious complication.
- Diagnostic challenges arise due to the potential for the affected area to be hidden.
Implications:
- Surgeons should consider non-Meckelian diverticula in cases of unexplained peritonitis.
- Specific intraoperative investigation is crucial when initial laparotomy does not reveal the source of perforation.