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A union of two rare pathologies: small bowel diverticula perforation secondary to impacted gallstone ileus.
J Surg Case Rep
January 2025
Department of Colorectal Surgery, Sydney Adventist Hospital, 185 Fox Valley Road, Wahroonga, Sydney, New South Wales 2076, Australia.
An 84-year-old lady presented with 1 day history of sudden onset generalized abdominal pain, fevers, and peritonism. Computed tomography was suggestive of a mid-small bowel perforation associated with a distal ovoid soft tissue density structure without pneumobilia. An urgent laparotomy demonstrated two areas of jejunal diverticula necrosis and perforation associated with a 3 cm luminal mass in the proximal ileum, and proximal small bowel dilatation.
View Article and Find Full Text PDFAcute Jejunal Diverticulitis With Abscess Formation Complicated by Perforation: A Case Report.
Cureus
December 2024
Trauma and Acute Care Surgery, Prince Sultan Military Medical City, Riyadh, SAU.
Jejunal diverticulum perforation is a rare condition and presents diagnostic challenges. A 41-year-old male presented to the emergency room with a history of vague, generalized, and continuous abdominal pain for two days. He was vitally stable; however, the abdominal examination revealed a soft and distended abdomen with positive rebound tenderness.
View Article and Find Full Text PDFAcute Jejunal Diverticulitis Induced by a Malignant Gastrointestinal Neuroectodermal Tumor: A Case Report.
Cureus
December 2024
Surgical Oncology, Prince Sultan Military Medical City, Riyadh, SAU.
Small intestinal diverticula induced by malignant mesenchymal tumors are extremely rare clinical entities. We present the case of a 46-year-old female who reported a one-week history of worsening generalized abdominal pain accompanied by constipation. A computed tomography (CT) scan of her abdomen revealed an ulcerative mass at the proximal/midjejunal junction, suggestive of jejunal diverticulitis.
View Article and Find Full Text PDFSuccessful Conservative Management of Acute Microperforation in a Diverticulum Within a Meckel's Diverticulum: A Case Report.
Cureus
November 2024
Emergency and General Internal Medicine, Rakuwakai Marutamachi Hospital, Kyoto, JPN.
Article Synopsis
- Meckel's diverticulum is a congenital gastrointestinal issue that can cause various problems; this case highlights a rare microperforation within it.
- A 31-year-old male experienced significant right lower quadrant pain and fever, initially suspected to be appendicitis, but ultrasound was inconclusive.
- A CT scan revealed a microperforation, and while he was treated conservatively at first, laparoscopic surgery later confirmed the diverticulum's presence, demonstrating effective management options for such complications.
Jejunal diverticulosis: A rare diagnosis with serious complications.
Radiol Case Rep
January 2025
Abdominal Radiology Department, Ibn-Sina Hospital, Rabat, Morocco.
Diverticula of the jejunum is a rare but real disease with various manifestations. The diagnosis is often missed due to a lack of awareness, leading to delays and added complications, and consequently increased morbidity and mortality. Management remains controversial, ranging from a conservative approach that recommends rest, analgesics with close monitoring even for mildly complicated cases, to an aggressive approach justified by the increased risk of complications.
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