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.
| Published in | Journal of Surgery (Volume 7, Issue 1) |
| DOI | 10.11648/j.js.20190701.12 |
| Page(s) | 8-13 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2019. Published by Science Publishing Group |
Jejunum, Diverticula, Jejunal Diverticulosis, Acute Abdomen, Free Air
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APA Style
Georgios Delimpaltadakis, Kalliopi Strataki, Konstantinos Spiridakis, Theodoros Papadakis, Eleni Kaloeidi, et al. (2019). Jejunal Diverticulosis Is a Rather Difficult Diagnosis: Report of a Case and Review of the Literature. Journal of Surgery, 7(1), 8-13. https://doi.org/10.11648/j.js.20190701.12
ACS Style
Georgios Delimpaltadakis; Kalliopi Strataki; Konstantinos Spiridakis; Theodoros Papadakis; Eleni Kaloeidi, et al. Jejunal Diverticulosis Is a Rather Difficult Diagnosis: Report of a Case and Review of the Literature. J. Surg. 2019, 7(1), 8-13. doi: 10.11648/j.js.20190701.12
AMA Style
Georgios Delimpaltadakis, Kalliopi Strataki, Konstantinos Spiridakis, Theodoros Papadakis, Eleni Kaloeidi, et al. Jejunal Diverticulosis Is a Rather Difficult Diagnosis: Report of a Case and Review of the Literature. J Surg. 2019;7(1):8-13. doi: 10.11648/j.js.20190701.12
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Download@article{10.11648/j.js.20190701.12,
author = {Georgios Delimpaltadakis and Kalliopi Strataki and Konstantinos Spiridakis and Theodoros Papadakis and Eleni Kaloeidi and Eleni Tsagkataki},
title = {Jejunal Diverticulosis Is a Rather Difficult Diagnosis: Report of a Case and Review of the Literature},
journal = {Journal of Surgery},
volume = {7},
number = {1},
pages = {8-13},
doi = {10.11648/j.js.20190701.12},
url = {https://doi.org/10.11648/j.js.20190701.12},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20190701.12},
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.},
year = {2019}
}
TY - JOUR T1 - Jejunal Diverticulosis Is a Rather Difficult Diagnosis: Report of a Case and Review of the Literature AU - Georgios Delimpaltadakis AU - Kalliopi Strataki AU - Konstantinos Spiridakis AU - Theodoros Papadakis AU - Eleni Kaloeidi AU - Eleni Tsagkataki Y1 - 2019/03/21 PY - 2019 N1 - https://doi.org/10.11648/j.js.20190701.12 DO - 10.11648/j.js.20190701.12 T2 - Journal of Surgery JF - Journal of Surgery JO - Journal of Surgery SP - 8 EP - 13 PB - Science Publishing Group SN - 2330-0930 UR - https://doi.org/10.11648/j.js.20190701.12 AB - 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. VL - 7 IS - 1 ER -
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