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A Case of Perforated Jejunal Diverticulum: An Unexpected Cause of Pneumoperitoneum in a Patient Presenting with an Acute Abdomen
Patient: Female, 74 Final Diagnosis: Perforated jejunal diverticulum Symptoms: Abdominal pain • Nauseas • Vomits Medication: — Clinical Procedure: — Specialty: Surgery OBJECTIVE: Rare disease BACKGROUND: Jejunal diverticulosis is a rare clinical condition, and the majority of patients are asymptomat...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
International Scientific Literature, Inc.
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5973506/ https://www.ncbi.nlm.nih.gov/pubmed/29743472 http://dx.doi.org/10.12659/AJCR.909131 |
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author | Martins, Bruno Augusto Alves Galletti, Rosana Rodrigues Neto, Júlio Marinho dos Santos Mendes, Caroline Neiva |
author_facet | Martins, Bruno Augusto Alves Galletti, Rosana Rodrigues Neto, Júlio Marinho dos Santos Mendes, Caroline Neiva |
author_sort | Martins, Bruno Augusto Alves |
collection | PubMed |
description | Patient: Female, 74 Final Diagnosis: Perforated jejunal diverticulum Symptoms: Abdominal pain • Nauseas • Vomits Medication: — Clinical Procedure: — Specialty: Surgery OBJECTIVE: Rare disease BACKGROUND: Jejunal diverticulosis is a rare clinical condition, and the majority of patients are asymptomatic. However, some patients can develop serious complications, including perforation. We report the case of a 74-year-old female patient with a perforated jejunal diverticulum who presented with an ‘acute abdomen’ and with pneumoperitoneum on X-ray radiography. CASE REPORT: A 74-year-old female patient presented to the emergency department with a 24-hour history of acute onset of diffuse abdominal pain associated with nausea and vomiting. Physical examination showed signs of generalized peritonitis. The chest radiograph showed a pneumoperitoneum. An emergency laparotomy was performed, and a perforated jejunal diverticulum was identified. Resection of the involved jejunal segment and a primary jejunal anastomosis were performed. CONCLUSIONS: Perforated jejunoileal diverticula should be included in the differential diagnosis for elderly patients who present with an acute abdomen. A delay in the diagnosis can be fatal in this group of patients. Although radiographic signs, such as pneumoperitoneum, are unusual in these cases, this finding should provide a diagnostic clue for the physician. |
format | Online Article Text |
id | pubmed-5973506 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | International Scientific Literature, Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-59735062018-06-01 A Case of Perforated Jejunal Diverticulum: An Unexpected Cause of Pneumoperitoneum in a Patient Presenting with an Acute Abdomen Martins, Bruno Augusto Alves Galletti, Rosana Rodrigues Neto, Júlio Marinho dos Santos Mendes, Caroline Neiva Am J Case Rep Articles Patient: Female, 74 Final Diagnosis: Perforated jejunal diverticulum Symptoms: Abdominal pain • Nauseas • Vomits Medication: — Clinical Procedure: — Specialty: Surgery OBJECTIVE: Rare disease BACKGROUND: Jejunal diverticulosis is a rare clinical condition, and the majority of patients are asymptomatic. However, some patients can develop serious complications, including perforation. We report the case of a 74-year-old female patient with a perforated jejunal diverticulum who presented with an ‘acute abdomen’ and with pneumoperitoneum on X-ray radiography. CASE REPORT: A 74-year-old female patient presented to the emergency department with a 24-hour history of acute onset of diffuse abdominal pain associated with nausea and vomiting. Physical examination showed signs of generalized peritonitis. The chest radiograph showed a pneumoperitoneum. An emergency laparotomy was performed, and a perforated jejunal diverticulum was identified. Resection of the involved jejunal segment and a primary jejunal anastomosis were performed. CONCLUSIONS: Perforated jejunoileal diverticula should be included in the differential diagnosis for elderly patients who present with an acute abdomen. A delay in the diagnosis can be fatal in this group of patients. Although radiographic signs, such as pneumoperitoneum, are unusual in these cases, this finding should provide a diagnostic clue for the physician. International Scientific Literature, Inc. 2018-05-10 /pmc/articles/PMC5973506/ /pubmed/29743472 http://dx.doi.org/10.12659/AJCR.909131 Text en © Am J Case Rep, 2018 This work is licensed under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) ) |
spellingShingle | Articles Martins, Bruno Augusto Alves Galletti, Rosana Rodrigues Neto, Júlio Marinho dos Santos Mendes, Caroline Neiva A Case of Perforated Jejunal Diverticulum: An Unexpected Cause of Pneumoperitoneum in a Patient Presenting with an Acute Abdomen |
title | A Case of Perforated Jejunal Diverticulum: An Unexpected Cause of Pneumoperitoneum in a Patient Presenting with an Acute Abdomen |
title_full | A Case of Perforated Jejunal Diverticulum: An Unexpected Cause of Pneumoperitoneum in a Patient Presenting with an Acute Abdomen |
title_fullStr | A Case of Perforated Jejunal Diverticulum: An Unexpected Cause of Pneumoperitoneum in a Patient Presenting with an Acute Abdomen |
title_full_unstemmed | A Case of Perforated Jejunal Diverticulum: An Unexpected Cause of Pneumoperitoneum in a Patient Presenting with an Acute Abdomen |
title_short | A Case of Perforated Jejunal Diverticulum: An Unexpected Cause of Pneumoperitoneum in a Patient Presenting with an Acute Abdomen |
title_sort | case of perforated jejunal diverticulum: an unexpected cause of pneumoperitoneum in a patient presenting with an acute abdomen |
topic | Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5973506/ https://www.ncbi.nlm.nih.gov/pubmed/29743472 http://dx.doi.org/10.12659/AJCR.909131 |
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