Perforated jejunal diverticula- a rare cause of acute abdominal pain: a case report.
Jejunal diverticula have a prevalence of approximately 1% in the general population. Perforation of jejunal diverticulum is a rare. Clinically this diagnosis may be easily confused with other causes of an acute abdomen. In the article, we discuss a 74-year-old man with a 2-day history of constipation and left-sided abdominal pain. The day before admission he developed an abrupt exacerbation his symptoms with pain localized to periumbilical and left lower quadrant. An abdominal computed tomography scan revealed soft tissue stranding within the left upper quadrant, bilateral plural effusions , larger on the left, an opacity with the right and left pulmonary lobes and polypoid lesion with in stomach. Physical examination revealed left upper quadrant fullness. An emergency laparotomy was carried out. This revealed multiple jejunal diverticula, one of which had perforated 40 centimeters distal to the ligament of Treitz.
Cancer Research Centre, Shahid Beheshti University of Medical Sciences, Shohadae-Tajrish Hospital, Tehran, Iran.
Mohammad Esmail
ME
Akbari
Cancer Research Centre, Shahid Beheshti University of Medical Sciences, Shohadae-Tajrish Hospital, Tehran, Iran.
Khashayar
K
Atqiaee
Cancer Research Centre, Shahid Beheshti University of Medical Sciences, Shohadae-Tajrish Hospital, Tehran, Iran.
Saran
S
Lotfollahzadeh
Cancer Research Centre, Shahid Beheshti University of Medical Sciences, Shohadae-Tajrish Hospital, Tehran, Iran.
Amir Naser Jadbbaeey
AN
Moghadam
Cancer Research Centre, Shahid Beheshti University of Medical Sciences, Shohadae-Tajrish Hospital, Tehran, Iran.
Mohammad Reza
MR
Sobhiyeh
Acute abdomen; Diverticular perforation; Jejunal diverticulosis; Small bowel diverticulosis