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 wa...

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Veröffentlicht in:	Chirurgia (Bucharest, Romania : 1990) Romania : 1990), 2010-01, Vol.105 (1), p.119-121
Hauptverfasser:	Papaziogas, B, Koutelidakis, J, Dragoumis, D, Atmatzidis, S, Giakoustidis, A, Atmatzidis, K
Format:	Artikel
Sprache:	eng
Schlagworte:	Abdomen, Acute - diagnosis Abdomen, Acute - etiology Abdomen, Acute - surgery Abdominal Pain - etiology Aged Diagnosis, Differential Diverticulum - complications Diverticulum - diagnosis Diverticulum - surgery Humans Intestinal Perforation - diagnosis Intestinal Perforation - etiology Intestinal Perforation - surgery Jejunal Diseases - complications Jejunal Diseases - diagnosis Jejunal Diseases - surgery Male Rupture, Spontaneous Treatment Outcome
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Zusammenfassung:	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.
ISSN:	1221-9118