JEJUNAL DİVERTICULOSIS PERFORATION: A RARE CAUSE OF ACUTE ABDOMEN

Authors : Nihat Gülaydın, Aylin Hande Gökçe, Hanifi Önalan, Ergin Enginöz, Mehmet Faik Özçelik

Pages : 2-7

Doi:10.54270/atljm.2022.21

View : 37 | Download : 243

Publication Date : 2022-12-15

Article Type : Review Paper

Abstract :Jejunal diverticula are rare lesions that can be difficult to diagnose and can cause high morbidity and mortality. It is usually asymptomatic,but it sometime presentation diarrhea, chronic abdominal pain, bloating, acute diverticulitis, bleeding, intestinal obstruction, and perforation. In thise article, we present a patient who was operated on for acute abdomen due to diverticulum perforation in the jejunum. A 67-year-old female patient, who presented to the emergency clinic with sudden onset of abdominal pain, fever, and palpitation had widespread abdominal tenderness, abdominal defense and rebound on physical examination. There is some abnormal blood tests. WBC was 15.480/ml, C-reactive protein was 36 mg/l.Free air sacs between the bowel loops in the abdomen, diverticula in the jejunum, diffuse colon diverticula,peritoneal contamination were observed in the abdominal CT. We made two operation.Firsly,we made diagnos and decide conservative aproch.But two weeks later,intraabdominal abscess occurred.We made diagnostic laparatomi and resected the jejunal part with jejunal divertikülozis. The patient was discharged on the 7th postoperative day.
Keywords : Jejunal divertikülozis, akut batın, jejunal diverticulosis

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