Perforated jejunal diverticulum presenting as acute abdomen.
We present a case of a 66-year-old man, who was admitted with a 6-hour history of severe diffuse abdominal pain of acute onset, accompanied by nausea and flatulence. The patient underwent an exploratory laparotomy, which revealed the presence of multiple diverticules of the jejeunum, one of which was ruptured. The patient was treated with segmental resection of the jejunum carrying the ruptured diverticle. Perforation of a jejunal diverticulum has to be considered in the differential diagnosis of acute abdomen.
Papaziogas
B
B
"G. Gennimatas" Hospital, 2" Surgical Clinic of the Aristotle University of Thessaloniki, Greece. papaziog@med.auth.gr
Koutelidakis
J
J
Dragoumis
D
D
Atmatzidis
S
S
Giakoustidis
A
A
Atmatzidis
K
K
D000006:Abdomen, Acute / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D015746:Abdominal Pain / Q000209:etiology; D000368:Aged; D003937:Diagnosis, Differential; D004240:Diverticulum / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D007416:Intestinal Perforation / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D007579:Jejunal Diseases / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D008297:Male; D012422:Rupture, Spontaneous; D016896:Treatment Outcome