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Jejunal diverticulitis manifesting with abdominal wall abscess
O A Alvarez1, A Mejia, V S Ostrower
1Department of Medicine, University of Texas Health Science Center, San Antonio, USA.
The American Journal of Gastroenterology
|November 1, 1995
Summary
Jejunal diverticulitis, a complication of jejunal diverticulosis, can rarely cause an abdominal wall abscess via fistula formation. This case highlights a unique presentation possibly linked to prior abdominal surgeries.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Jejunal diverticulosis is often asymptomatic but can lead to complications.
- Diverticulitis, an inflammation of these pouches, typically results in intra-abdominal abscesses.
Observation:
- This report details a rare case of jejunal diverticulitis presenting with an abdominal wall abscess.
- The complication involved fistula formation, a previously undocumented pathway for this condition.
Findings:
- The patient developed an abdominal wall abscess secondary to jejunal diverticulitis.
- This represents the first reported instance of jejunal diverticulitis causing an abdominal wall abscess via fistula.
Implications:
- The formation of the abdominal wall abscess is hypothesized to be due to adhesions from previous surgeries.
- This case broadens the understanding of potential jejunal diverticulitis complications and diagnostic considerations.
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