Acute ulcerative jejunal diverticulitis: case report of an uncommon entity.

Détails

ID Serval
serval:BIB_5A6A6F3A809F
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Institution
Titre
Acute ulcerative jejunal diverticulitis: case report of an uncommon entity.
Périodique
World Journal of Gastroenterology
Auteur(s)
Staszewicz W., Christodoulou M., Proietti S., Demartines N.
ISSN
1007-9327
Statut éditorial
Publié
Date de publication
2008
Peer-reviewed
Oui
Volume
14
Numéro
40
Pages
6265-6267
Langue
anglais
Notes
Publication types: Case Reports ; Journal Article
Résumé
Jejunal diverticulosis is a rare entity with variable clinical and anatomical presentations. Its reported incidence varies from 0.05% to 6%. Although there is no consensus on the management of asymptomatic jejunal diverticular disease, some complications are potentially life threatening and require early surgical treatment. We report a case of an 88-year-old man investigated for acute abdominal pain with a high biological inflammatory syndrome. Inflammation of multiple giant jejunal diverticulum was discovered at abdominal computed tomography (CT). As a result of the clinical and biological signs of early peritonitis, an emergency surgical exploration was performed. The first jejunal loop showed clear signs of jejunal diverticulitis. Primary segmental jejunum resection with end-to-end anastomosis was performed. Histopathology report confirmed an ulcerative jejunal diverticulitis with imminent perforation and acute local peritonitis. The patient made an excellent rapid postoperative recovery. Jejunal diverticulum is rare but may cause serious complications. It should be considered a possible etiology of acute abdomen, especially in elderly patients with unusual symptomatology. Abdominal CT is the diagnostic tool of choice. The best treatment is emergency surgical management.
Mots-clé
Abdomen, Acute, Aged, 80 and over, Anastomosis, Surgical, Diverticulitis, Diverticulum, Humans, Jejunal Diseases, Male, Peritonitis, Tomography, X-Ray Computed, Treatment Outcome, Ulcer
Pubmed
Web of science
Open Access
Oui
Création de la notice
17/04/2009 17:34
Dernière modification de la notice
20/08/2019 14:13
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