[Perforated jejunal divertikula - a rare differential diagnosis of acute abdominal pain].
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.
Kleemann
M
M
Klinik für Chirurgie, Universitätsklinikum Schleswig-Holstein -- Campus Lübeck, Ratzeburger Allee 160, 23538 Lübeck. markus.kleemann@ukl.uni-luebeck.de
Kujath
P
P
Stellmacher
F
F
Gellissen
J
J
Bruch
H-P
HP
Eckmann
Ch
Ch
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