Multiple Jejunal Diverticulosis Complicated by Perforation: Case Report and a Brief Literature Review*

Background Multiple small-bowel diverticulosis comprises a rare entity with probable underestimated incidence, and that may be the reason why it is sometimes overlooked when managing cases with peritonitis. Case report In the present paper, we report the case of a 76-year-old male present...

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Autores principales:	Luiz Carlos Benjamin do Carmo, Fábio Guilherme Campos, Renato Barreto, Diogo Fontes, Thiago Ibiapina, Sérgio Gontscharow
Formato:	article
Lenguaje:	EN
Publicado:	Thieme Revinter Publicações Ltda. 2021
Materias:	case report diverticulitis jejunoileal diverticula peritonitis laparoscopic approach Diseases of the digestive system. Gastroenterology RC799-869
Acceso en línea:	https://doaj.org/article/a93a49241c6d4d77983168b60839872c
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spelling	oai:doaj.org-article:a93a49241c6d4d77983168b60839872c2021-11-30T00:26:27ZMultiple Jejunal Diverticulosis Complicated by Perforation: Case Report and a Brief Literature Review*2237-93632317-642310.1055/s-0041-1736296https://doaj.org/article/a93a49241c6d4d77983168b60839872c2021-11-01T00:00:00Zhttp://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1736296https://doaj.org/toc/2237-9363https://doaj.org/toc/2317-6423Background Multiple small-bowel diverticulosis comprises a rare entity with probable underestimated incidence, and that may be the reason why it is sometimes overlooked when managing cases with peritonitis. Case report In the present paper, we report the case of a 76-year-old male presenting abdominal pain and fever in an acute setting. Computed tomography (CT) scans revealed jejunal thickening and numerous images of saccular addition that were interpreted as jejunoileal diverticulitis. After an initial period of clinical treatment, surgical management was indicated based on a worsening clinical picture and the presence of an extraluminal focus of gas detected in a subsequent CT scan. Through a laparoscopic approach, multiple small-bowel diverticula and a tamponade perforation were found. A segmental intestinal resection was performed, and the patient was discharged after a ten days. Conclusions Multiple jejunal diverticulosis is a rare condition that should be remembered in the setting of an acute abdomen. As it prevails among older patients, early diagnosis with radiological aid is crucial to establish the most adequate management, including intestinal resection, if necessary.Luiz Carlos Benjamin do CarmoFábio Guilherme CamposRenato BarretoDiogo FontesThiago IbiapinaSérgio GontscharowThieme Revinter Publicações Ltda.articlecase reportdiverticulitisjejunoileal diverticulaperitonitislaparoscopic approachDiseases of the digestive system. GastroenterologyRC799-869ENJournal of Coloproctology (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	case report diverticulitis jejunoileal diverticula peritonitis laparoscopic approach Diseases of the digestive system. Gastroenterology RC799-869
spellingShingle	case report diverticulitis jejunoileal diverticula peritonitis laparoscopic approach Diseases of the digestive system. Gastroenterology RC799-869 Luiz Carlos Benjamin do Carmo Fábio Guilherme Campos Renato Barreto Diogo Fontes Thiago Ibiapina Sérgio Gontscharow Multiple Jejunal Diverticulosis Complicated by Perforation: Case Report and a Brief Literature Review*
description	Background Multiple small-bowel diverticulosis comprises a rare entity with probable underestimated incidence, and that may be the reason why it is sometimes overlooked when managing cases with peritonitis. Case report In the present paper, we report the case of a 76-year-old male presenting abdominal pain and fever in an acute setting. Computed tomography (CT) scans revealed jejunal thickening and numerous images of saccular addition that were interpreted as jejunoileal diverticulitis. After an initial period of clinical treatment, surgical management was indicated based on a worsening clinical picture and the presence of an extraluminal focus of gas detected in a subsequent CT scan. Through a laparoscopic approach, multiple small-bowel diverticula and a tamponade perforation were found. A segmental intestinal resection was performed, and the patient was discharged after a ten days. Conclusions Multiple jejunal diverticulosis is a rare condition that should be remembered in the setting of an acute abdomen. As it prevails among older patients, early diagnosis with radiological aid is crucial to establish the most adequate management, including intestinal resection, if necessary.
format	article
author	Luiz Carlos Benjamin do Carmo Fábio Guilherme Campos Renato Barreto Diogo Fontes Thiago Ibiapina Sérgio Gontscharow
author_facet	Luiz Carlos Benjamin do Carmo Fábio Guilherme Campos Renato Barreto Diogo Fontes Thiago Ibiapina Sérgio Gontscharow
author_sort	Luiz Carlos Benjamin do Carmo
title	Multiple Jejunal Diverticulosis Complicated by Perforation: Case Report and a Brief Literature Review*
title_short	Multiple Jejunal Diverticulosis Complicated by Perforation: Case Report and a Brief Literature Review*
title_full	Multiple Jejunal Diverticulosis Complicated by Perforation: Case Report and a Brief Literature Review*
title_fullStr	Multiple Jejunal Diverticulosis Complicated by Perforation: Case Report and a Brief Literature Review*
title_full_unstemmed	Multiple Jejunal Diverticulosis Complicated by Perforation: Case Report and a Brief Literature Review*
title_sort	multiple jejunal diverticulosis complicated by perforation: case report and a brief literature review*
publisher	Thieme Revinter Publicações Ltda.
publishDate	2021
url	https://doaj.org/article/a93a49241c6d4d77983168b60839872c
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Multiple Jejunal Diverticulosis Complicated by Perforation: Case Report and a Brief Literature Review*

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