Jejunal Diverticulosis Is a Rather Difficult Diagnosis: Report of a Case and Review of the Literature
Journal of Surgery
Volume 7, Issue 1, February 2019, Pages: 8-13
Received: Jan. 9, 2019; Accepted: Mar. 1, 2019; Published: Mar. 21, 2019
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Authors
Georgios Delimpaltadakis, Department of Surgery, Venizeleio General Hospital, Heraklion, Greece
Kalliopi Strataki, Department of Surgery, Venizeleio General Hospital, Heraklion, Greece
Konstantinos Spiridakis, Department of Surgery, Venizeleio General Hospital, Heraklion, Greece
Theodoros Papadakis, Department of Surgery, Venizeleio General Hospital, Heraklion, Greece
Eleni Kaloeidi, Department of Surgery, Venizeleio General Hospital, Heraklion, Greece
Eleni Tsagkataki, Department of Surgery, Venizeleio General Hospital, Heraklion, Greece
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Abstract
Jejunal diverticulosis is most commonly an incidental intraoperative finding, while rarely can be a clinical diagnosis as demonstrated in our case and on published articles in the literature. Besides the rarity of the disease, a second factor that incommodes the preoperative diagnosis is the vague symptomatology. The case of a 72-year-old male patient is described, who was complaining for mild intensity abdominal pain, with no other specific symptoms. A leucocytosis of 12.500/mm3 was revealed, with all other laboratory tests being within normal limits. CT scan showed bubbles of free air in abdominal cavity and the decision for surgical exploration was taken. In the operating room multiple large diverticula were found along the jejunum without obvious perforation. A resection of 105 cm of jejunum was performed. Patient’s postoperative recovery was uneventful and two years later he does not complain of any abdominal symptoms. Postoperatively an expert radiologist was asked to read and explain the preoperative CT scan. Radiologist’s diagnosis was that the patient had either multiple jejunal diverticula or trapped free air in peritoneal cavity. Consequently, the preoperative diagnosis is feasible with a prompt cooperation between surgeon and radiologist and a better interpretation of CT scan findings from the radiologist.
Keywords
Jejunum, Diverticula, Jejunal Diverticulosis, Acute Abdomen, Free Air
To cite this article
Georgios Delimpaltadakis, Kalliopi Strataki, Konstantinos Spiridakis, Theodoros Papadakis, Eleni Kaloeidi, Eleni Tsagkataki, Jejunal Diverticulosis Is a Rather Difficult Diagnosis: Report of a Case and Review of the Literature, Journal of Surgery. Vol. 7, No. 1, 2019, pp. 8-13. doi: 10.11648/j.js.20190701.12
Copyright
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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