Therapeutic strategies for perforated jejunal diverticulitis. A case report


COD: 3072_07_05_2019_ep Categorie: , ,

Francesca Viscosi, Giusy Pintabona, Agata Foti, Eugenio Cucinotta, Carmelo Mazzeo

Ann Ital Chir, Digital Edition 2019, 8
Epub, May 7

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AIM: The jejuno-ileal diverticulosis is an unusual disease which affects elderly people and its complications can be fatal
due to delayed diagnosis. The most frequent complication of jejunal diverticulitis is the perforation.
CASE REPORT: In this report we describe a case of elderly patient presenting with acute abdominal pain and fever. The
patient underwent to an urgent exploratory laparotomy that revealed a perforated small bowel diverticulum. An intestinal
resection with primary anastomosis was performed.
DISCUSSION: Jejunal diverticulosis often presents with non-specific symptoms like intermittent abdominal pain, dyspepsia,
bloating or abdominal fullness and constipation. When, instead, it incurs a complication, it presents with an acute
abdominal pain. The most frequent complication of jejunal diverticulitis is the perforation, followed by acute intestinal
obstruction and diverticular bleeding. The diverticular perforation is associated with a high mortality, especially among
elderly patients. Nowadays the mortality is reduced because of the improvement of the diagnostic, pharmaceutical and
surgical protocols.
CONCLUSIONS: With this report we want to discuss about different therapeutic approaches for perforated jejuno-ileal
diverticula, which depends on the severity of the disease and the general clinical condition of the patient.


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