Jejunal Diverticulitis Ascending to the Duodenum as a Rare Cause of Acute Abdomen
We present the case of a 73 year-old Caucasian male with acute abdominal pain, peritonism and vomiting. Due to the severity of symptoms a CT examination of the abdomen was performed. The scans revealed multiple jejunal diverticula, wall thickening of the duodenum and jejunum, and free peritoneal f...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2014-08-01
|
| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/4723/8968_CE(%20%20%20)_F(Sh)_PF1(ABAK)_PFA(AK)_PF2(PAG).pdf |
| Summary: | We present the case of a 73 year-old Caucasian male with acute abdominal pain, peritonism and vomiting. Due to the severity of symptoms
a CT examination of the abdomen was performed. The scans revealed multiple jejunal diverticula, wall thickening of the duodenum and
jejunum, and free peritoneal fluid. No clear signs of mesenteric infarction, free abdominal air or abscess formation were seen. An additional
exploratory laparotomy was conducted to confirm the CT findings and rule out the need for resection of small bowel. Since the results were
matching, conservative therapy was scheduled and the patient recovered well. Jejunal diverticulitis is a rare cause of acute abdomen, however has to be considered as a differential diagnosis to more common entities. It usually stays localized, while in our case the inflammation
ascended to the duodenum. CT is the modality of choice to diagnose and rule out potentially life threatening complications. |
|---|---|
| ISSN: | 2249-782X 0973-709X |