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[Perforated jejunal diverticulum: a rare cause of acute abdomen].
Chir Ital. 2005 Jul-Aug; 57(4):521-5.CI

Abstract

Jejunal diverticulum is an uncommon, acquired condition, and the majority of patients are usually asymptomatic. Jejunal diverticula become clinically relevant when complications, such as diverticulitis, intestinal bleeding, obstruction, or perforation occur. A rare case of acute abdomen due to a perforated jejunal diverticulum is presented. The diagnosis was initially suggested by CT and confirmed intraoperatively when a 74-year-old male patient underwent a segmental jejunal resection with primary anastomosis. A review of the literature indicates the rarity of this condition, and therefore the aetiology, pathogenesis, diagnosis, and management are briefly discussed. An early diagnosis, based on ultrasonography and CT, and consequently prompt resection of the jejunum affected are the keys to a successful outcome. Because a longer duration of symptoms before operation correlates with a worse prognosis, the possibility of a clinical diagnosis of perforated jejunal diverticulum should be entertained as part of any evaluation of acute abdomen, especially in the elderly.

Authors+Show Affiliations

UOC Chirurgia Generale, Urgenza e Pronto Soccorso, DEA, Azienda Ospedaliera San Camillo-Forlanini, Roma.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

ita

PubMed ID

16060194

Citation

Costa, Gianluca, et al. "[Perforated Jejunal Diverticulum: a Rare Cause of Acute Abdomen]." Chirurgia Italiana, vol. 57, no. 4, 2005, pp. 521-5.
Costa G, Mancini R, Di Castro A, et al. [Perforated jejunal diverticulum: a rare cause of acute abdomen]. Chir Ital. 2005;57(4):521-5.
Costa, G., Mancini, R., Di Castro, A., Capaldi, M., Sciacca, P., & Ialongo, P. (2005). [Perforated jejunal diverticulum: a rare cause of acute abdomen]. Chirurgia Italiana, 57(4), 521-5.
Costa G, et al. [Perforated Jejunal Diverticulum: a Rare Cause of Acute Abdomen]. Chir Ital. 2005 Jul-Aug;57(4):521-5. PubMed PMID: 16060194.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Perforated jejunal diverticulum: a rare cause of acute abdomen]. AU - Costa,Gianluca, AU - Mancini,Renato, AU - Di Castro,Angelo, AU - Capaldi,Massimo, AU - Sciacca,Pietro, AU - Ialongo,Pasquale, PY - 2005/8/3/pubmed PY - 2005/9/9/medline PY - 2005/8/3/entrez SP - 521 EP - 5 JF - Chirurgia italiana JO - Chir Ital VL - 57 IS - 4 N2 - Jejunal diverticulum is an uncommon, acquired condition, and the majority of patients are usually asymptomatic. Jejunal diverticula become clinically relevant when complications, such as diverticulitis, intestinal bleeding, obstruction, or perforation occur. A rare case of acute abdomen due to a perforated jejunal diverticulum is presented. The diagnosis was initially suggested by CT and confirmed intraoperatively when a 74-year-old male patient underwent a segmental jejunal resection with primary anastomosis. A review of the literature indicates the rarity of this condition, and therefore the aetiology, pathogenesis, diagnosis, and management are briefly discussed. An early diagnosis, based on ultrasonography and CT, and consequently prompt resection of the jejunum affected are the keys to a successful outcome. Because a longer duration of symptoms before operation correlates with a worse prognosis, the possibility of a clinical diagnosis of perforated jejunal diverticulum should be entertained as part of any evaluation of acute abdomen, especially in the elderly. SN - 0009-4773 UR - https://www.unboundmedicine.com/medline/citation/16060194/[Perforated_jejunal_diverticulum:_a_rare_cause_of_acute_abdomen]_ L2 - https://medlineplus.gov/smallintestinedisorders.html DB - PRIME DP - Unbound Medicine ER -