Jejunal diverticula with perforation in non steroidal anti inflammatory drug user: A case report

Gupta, Shobhit; Kumar, Naveen

doi:10.1016/j.ijscr.2017.07.021

Cited by 10 publications

(16 citation statements)

References 10 publications

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“…Therefore, radiographs and computed tomography imaging are mostly used. While radiographs can reveal features such as free air under the diaphragm or others [ 1 , 8 , 11 , 13 – 18 ], many were unremarkable [ 5 , 6 , 9 , 19 – 23 ]. However, CT imaging is a more reliable method of diagnosis and was able to show the features of this entity in all cases when it was obtained [ 1 , 4 , 7 , 9 , 10 , 13 , 15 , 17 , 22 – 28 ].…”

Section: Discussionmentioning

confidence: 99%

“…However, CT imaging is a more reliable method of diagnosis and was able to show the features of this entity in all cases when it was obtained [ 1 , 4 , 7 , 9 , 10 , 13 , 15 , 17 , 22 – 28 ]. A diagnostic laparoscopy was also done in some cases [ 4 – 6 , 8 , 12 , 14 , 15 , 19 – 21 , 26 , 29 ]. Rarely, other diagnostic tools such as Ultrasonography were performed [ 4 , 6 , 13 , 14 , 17 ].…”

Section: Discussionmentioning

confidence: 99%

“…A few months of follow-up, CT revealed no extraperitoneal air or mesenteric infiltration [ 17 ]. Overall, no serious complications or recurrence was observed in the majority of cases except an episode of aspiration pneumonia [ 16 ], hospital-acquired pneumonia [ 11 ], swelling of the hand joints, polyarthralgia, fatigue 3 days post-operation [ 14 ], and wound infection at suture site [ 3 , 8 ]. With that in mind, small bowel diverticula can have several complications such as bleeding, obstruction, and diverticulitis that can lead to perforation [ 32 – 34 ].…”

Section: Discussionmentioning

confidence: 99%

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Small bowel diverticula in elderly patients: a case report and review article

Mansour¹,

Abboud

Bilal

et al. 2022

BMC Surg

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Background Small intestine diverticula are rare findings that were mostly reported in the elderly population as asymptomatic findings. However, they can also present with a wide range of symptoms (bloating, early satiety, chronic abdominal discomfort, and diarrhea/steatorrhea) or complications (gastrointestinal bleeding, small bowel obstruction, acute diverticulitis, or perforation) which in turn warrant medical treatment or urgent surgical intervention. Case presentation This is a case report of an 84-year-old female who presented with an acute surgical abdomen. An exploratory laparotomy revealed complicated small bowel diverticula with a jejunal diverticulum perforation, for which a diverticulectomy was performed. Conclusions Throughout this paper, we are aiming to outweigh the consideration of the possibility of complicated small bowel diverticula as a differential in the evaluation of any acute abdomen, especially in the elderly, which warrants emergency surgical management.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Small bowel diverticula in elderly patients: a case report and review article

Mansour¹,

Abboud

Bilal

et al. 2022

BMC Surg

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“…The jejunal diverticula are 18 times more likely to perforate compared to the duodenal diverticula [4]. The most common sites of small bowel diverticular below the ligament of trietz are in proximal jejunum (75%), distal jejunum (20%), and ileum (5%) [5]. Seventy-seven percent of the cases of small bowel diverticula are multiple compared to a single isolated diverticulum [6].…”

Section: Discussionmentioning

confidence: 99%

A Case of Isolated Jejunal Diverticulum Presented as Free Perforation: A Rare Cause of Acute Abdomen

Anjum

Kumar

Singla

et al. 2021

Cureus

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Jejunal diverticulum is a very rare disease. Diagnosis of this condition is a challenge owing to non-specific complaints of the patient. Fifteen percent cases of jejunal diverticula present with acute abdomen. Approximately 77% of small bowel diverticular disease occur with multiple diverticula. Here we describe a case of complicated isolated jejunal diverticula presenting with perforation, which was successfully treated with resection of the involved segment with anastomosis.

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“…The most common part of the small bowel where diverticula can be developed is the proximal jejunum (75%), followed by the distal (20%) and then the ileum (5%) [24]. Coexistent diverticula can be found in colon 20%-70%, in the duodenum 10%-40%, and in the esophagus and stomach 2% of patients [25,26].…”

Section: Discussionmentioning

confidence: 99%

Jejunal Diverticulosis Is a Rather Difficult Diagnosis: Report of a Case and Review of the Literature

Delimpaltadakis¹

2019

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Jejunal diverticulosis is most commonly an incidental intraoperative finding, while rarely can be a clinical diagnosis as demonstrated in our case and on published articles in the literature. Besides the rarity of the disease, a second factor that incommodes the preoperative diagnosis is the vague symptomatology. The case of a 72-year-old male patient is described, who was complaining for mild intensity abdominal pain, with no other specific symptoms. A leucocytosis of 12.500/mm 3 was revealed, with all other laboratory tests being within normal limits. CT scan showed bubbles of free air in abdominal cavity and the decision for surgical exploration was taken. In the operating room multiple large diverticula were found along the jejunum without obvious perforation. A resection of 105 cm of jejunum was performed. Patient's postoperative recovery was uneventful and two years later he does not complain of any abdominal symptoms. Postoperatively an expert radiologist was asked to read and explain the preoperative CT scan. Radiologist's diagnosis was that the patient had either multiple jejunal diverticula or trapped free air in peritoneal cavity. Consequently, the preoperative diagnosis is feasible with a prompt cooperation between surgeon and radiologist and a better interpretation of CT scan findings from the radiologist.

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Jejunal diverticula with perforation in non steroidal anti inflammatory drug user: A case report

Cited by 10 publications

References 10 publications

Small bowel diverticula in elderly patients: a case report and review article

Small bowel diverticula in elderly patients: a case report and review article

A Case of Isolated Jejunal Diverticulum Presented as Free Perforation: A Rare Cause of Acute Abdomen

Jejunal Diverticulosis Is a Rather Difficult Diagnosis: Report of a Case and Review of the Literature

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