Uncomplicated jejunal diverticulosis with pneumoperitoneum.
10.4174/astr.2016.90.6.346
- Author:
Jae Young KWAK
1
;
Eun Hwa PARK
;
Cheon Soo PARK
;
Ji Hoon KIM
;
Myeong Sik HAN
;
Jin Ho KWAK
Author Information
1. Department of Surgery, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea. withspirit@lycos.co.kr
- Publication Type:Case Report
- Keywords:
Diverticulosis;
Pneumoperitoneum;
Jejunum
- MeSH:
Abdomen;
Diagnosis;
Diverticulum*;
Emergency Service, Hospital;
Female;
Humans;
Jejunum;
Middle Aged;
Pneumoperitoneum*;
Postoperative Complications;
Thorax
- From:Annals of Surgical Treatment and Research
2016;90(6):346-349
- CountryRepublic of Korea
- Language:English
-
Abstract:
Small bowel diverticulosis is a rare finding within all bowel diverticuloses and jejunal diverticulosis is even rarer. Their relative clinical rarity and varied presentation may make diagnosis both delayed and difficult. We experienced a case of jejunal diverticulosis, which was diagnosed intraoperatively. A 55-year-old woman was admitted to Emergency Department with pneumoperitoneum on plain chest and abdominal film from a local clinic. She was hemodynamically stable with minimal tenderness on the left upper quadrant of the abdomen but no rebound tenderness. At surgery, small bowel torsion and jejunal diverticulosis were confirmed. Over 30 variable sized small bowel diverticula were noted on the mesenteric side of the proximal jejunum. The affected segment of the jejunum was about 180 cm. On exploration, we could not find any perforation site. No postoperative complications were observed, and the patient made a full recovery. Jejunal diverticulosis is rare, but it should not be regarded as insignificant.
