title: [Perforated jejunal divertikula - a rare differential diagnosis of acute abdominal pain].
abstract: DIAGNOSTIC FINDINGS: We report about a 83 years old female with persisting abdominal pain for 3 days. Abdominal x-ray, as well as abdominal ultrasound examination were unsuccessful. CT scan revealed a 7 cm tumor, suspicious for abscess. OPERATION: Diagnostic laparotomy showed a 6 cm inflammatory tumor with covered perforation of a jejunal diverticula at the 4th intestinal loop distal the ligament of Treitz. We performed a segmental resection.
  
  
  RESULTS
  Clinical follow-up was uneventful, the patient was without any symptoms within the first 6 months. Pre- and intraoperative pathology will be explained and discussed referring to the literature.
authors.affiliation: Klinik für Chirurgie, Universitätsklinikum Schleswig-Holstein -- Campus Lübeck, Ratzeburger Allee 160, 23538 Lübeck. markus.kleemann@ukl.uni-luebeck.de
authors.forename: M
authors.initials: M
authors.lastname: Kleemann
authors.forename: P
authors.initials: P
authors.lastname: Kujath
authors.forename: F
authors.initials: F
authors.lastname: Stellmacher
authors.forename: J
authors.initials: J
authors.lastname: Gellissen
authors.forename: H-P
authors.initials: HP
authors.lastname: Bruch
authors.forename: Ch
authors.initials: Ch
authors.lastname: Eckmann
mesh_terms: D015746:Abdominal Pain / Q000209:etiology* / Q000601:surgery; D000369:Aged, 80 and over; D003937:Diagnosis, Differential; D004238:Diverticulitis / Q000175:diagnosis* / Q000601:surgery; D005260:Female; D006801:Humans; D007416:Intestinal Perforation / Q000175:diagnosis* / Q000601:surgery; D007579:Jejunal Diseases / Q000175:diagnosis* / Q000601:surgery; D007583:Jejunum / Q000473:pathology / Q000601:surgery; D014057:Tomography, X-Ray Computed