Non-surgical management of recurrent perforation of a jejunal diverticulum following previous segmental bowel resection: a case reportReportar como inadecuado




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Journal of Medical Case Reports

, 3:7318

First Online: 14 July 2009Received: 02 September 2008Accepted: 23 January 2009DOI: 10.4076-1752-1947-3-7318

Cite this article as: Colvin, H.S., Kuenfoo, C., Rajab, T.K. et al. J Med Case Reports 2009 3: 7318. doi:10.4076-1752-1947-3-7318

Abstract

IntroductionPerforations of jejunal diverticula are uncommon and repeated symptomatic perforations have been reported only twice before in the literature. This is the first case report of recurrent perforation of a jejunal diverticulum to be successfully managed non-operatively.

Case presentationWe report a recurrent perforation of a jejunal diverticulum in an 87-year-old Caucasian man who presented with a 1-week history of epigastric pain. The diagnosis of a perforated jejunal diverticulum was made from the appearances of the abdominal computed tomography scan together with the presence of jejunal diverticula noted at the time of a previous laparotomy for the first perforation of a jejunal diverticulum.

ConclusionWhilst this case report by itself does not add to the knowledge we already have of jejunal diverticula, it is one report of a rare condition and more reports are required in the future to establish the recurrence rate of jejunal diverticula perforation and how perforated jejunal diverticula are best managed.

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Autor: Hugh Shunsuke Colvin - Chin Kuenfoo - Taufiek Konrad Rajab - Thomas Sayadatas

Fuente: https://link.springer.com/







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