Perfuração de intestino delgado por doença diverticular jejunal

Divertículo Jejunal Perfurado - Três Estudos De Casos

“…According to literature they are more common and larger in the proximal jejunum, with their frequency decreasing in the distal direction 2 . Their vast majority is asymptomatic and incidentally detected in images, laparotomy or autopsy [1][2][3][4][5][6][7][8][9][10] . Suggestive diagnostic triad includes obscure abdominal pain, anemia, and images of dilated small bowel loops in epigastrium or left upper quadrant 4 .…”

“…The jejunal diverticula are rare, with an incidence ranging from 0.3% to 2.3%, and are very less frequent than the duodenal diverticula (20% vs 70%) [1][2][3][4][5][6][7][8][9][10] . They affect mainly the elderly in the 6 th -8 th decades of life [1][2][3][4][5][6][7][8][9][10] . Up to 70% may be asymptomatic, and acute diverticulitis is the most usual presentation (2.6% to 4.6%) [1][2][3][4][5][6][7][8][9][10] .…”

“…They affect mainly the elderly in the 6 th -8 th decades of life [1][2][3][4][5][6][7][8][9][10] . Up to 70% may be asymptomatic, and acute diverticulitis is the most usual presentation (2.6% to 4.6%) [1][2][3][4][5][6][7][8][9][10] . The diagnosis is usually difficult and timeconsuming because of the nonspecific symptoms, while computed tomography (CT) is an important tool in elucidating the diagnosis [1][2][3][4][5][6][7][8][9][10] .…”

“…Up to 70% may be asymptomatic, and acute diverticulitis is the most usual presentation (2.6% to 4.6%) [1][2][3][4][5][6][7][8][9][10] . The diagnosis is usually difficult and timeconsuming because of the nonspecific symptoms, while computed tomography (CT) is an important tool in elucidating the diagnosis [1][2][3][4][5][6][7][8][9][10] . Complications occur in 6% to 30%, including acute diverticulitis, anemia, obstruction, fistula, abscess, adhesions, enteroliths, bleeding, and perforation with peritonitis [1][2][3][4][5][6][7][8][9][10] .…”

“…The diagnosis is usually difficult and timeconsuming because of the nonspecific symptoms, while computed tomography (CT) is an important tool in elucidating the diagnosis [1][2][3][4][5][6][7][8][9][10] . Complications occur in 6% to 30%, including acute diverticulitis, anemia, obstruction, fistula, abscess, adhesions, enteroliths, bleeding, and perforation with peritonitis [1][2][3][4][5][6][7][8][9][10] . The objective is to describe three cases of perforated jejunal diverticulitis, emphasizing this entity as a differential diagnosis in the elderly with symptoms of acute abdomen.…”