title: The use of an ex vivo contrast study at the time of surgery to confirm the site of a perforated jejunal diverticulum.
abstract: A 63-year-old patient was diagnosed with acute jejunal diverticulitis and possible perforation. The patient was taken to the operating room for an exploratory laparotomy where a suspected segment of small bowel was resected. However, the surgical team was unsure whether the resected segment was the definite location of the perforation. A novel technique; using intraoperative contrast enhanced ex vivo x-ray photographs aided the surgical team in finding the exact location of the perforation and thus allowing the operating team to confidently and safely proceed with closure of the abdomen.
authors.affiliation: Department of General Surgery, Northwick Park Hospital, Northwest London Hospitals NHS Trust, Harrow, UK. anzamani@gmail.com
authors.forename: Amin
authors.initials: A
authors.lastname: Zamani
authors.forename: Christopher John
authors.initials: CJ
authors.lastname: Peters
authors.forename: Stephen J
authors.initials: SJ
authors.lastname: Chadwick
mesh_terms: D003287:Contrast Media; D004240:Diverticulum / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D005260:Female; D006801:Humans; D007416:Intestinal Perforation / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D007430:Intraoperative Care; D007579:Jejunal Diseases / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D008875:Middle Aged; D011859:Radiography
chemical_list: D003287:Contrast Media