Jejunal diverticulosis is a rare phenomenon often identified either incidentally on imaging or intra-operatively. Complications of jejunal diverticulosis are associated with high rates of mortality. For this reason, it remains important that this pathology is considered amongst differentials for an acute abdomen. A 78-year old gentleman presented with a short history of generalized lower abdominal pain. Computer tomography scan revealed a large inflammatory abscess relating to a perforated jejunal diverticulum. The patient was taken to theatre where he underwent small bowel resection with primary anastomosis. Early cross sectional imaging is vital to allow early diagnosis and prompt management of this pathology. Small bowel resection with primary anastomosis was associated with an excellent clinical outcome.
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http://dx.doi.org/10.1093/jscr/rjaa587 | DOI Listing |
Front Oncol
December 2024
Department of Gastrointestinal Surgery, Weihai Central Hospital, Qingdao University, Weihai, Shandong, China.
Background: Sarcomatoid carcinoma of the small bowel is an exceedingly rare gastrointestinal tumor characterized by a biphasic cellular pattern of epithelioid and mesenchymal-like cells. Due to its rarity and non-specific clinical presentation, it is frequently misdiagnosed, and there is a lack of standardized management guidelines. We report a case of multiple sarcomatoid carcinoma of the small intestine, presenting initially with gastrointestinal perforation.
View Article and Find Full Text PDFCureus
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 PDFCureus
November 2024
Gastroenterology, Naval Medical Center Portsmouth, Portsmouth, USA.
Small bowel (SB) diverticulosis is an uncommon diagnosis and a rare cause of gastrointestinal (GI) bleeding. A particularly rare form of SB diverticular disease, jejunal diverticulosis, is usually discovered due to complications, such as hemorrhage, obstruction, or perforation. Owing in part to its rarity, jejunal diverticular bleeding can be difficult to identify and treat, resulting in increased morbidity and mortality.
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November 2024
Department of General and Operative Surgery, Medical University "Prof. Dr. Paraskev Stoyanov", Varna, BGR.
Trichobezoar or hairball in the proximal part of the gastrointestinal tract is a rare condition that occurs mainly in young and adolescent females. Since human hair is resistant to digestive enzymes and resistant to peristalsis, it easily accumulates between the folds of the mucosa. Over time, food and mucus accumulate within the hair, forming a compact mass that fills almost the entire lumen.
View Article and Find Full Text PDFJ Abdom Wall Surg
November 2024
Department of Surgery, UD of Medicine of Vall d'Hebron, Universitat Autònoma de Barcelona, Abdominal Wall Surgery Unit, General and Digestive Surgery Department, Hospital Universitari Vall d'Hebrón, Barcelona, Spain.
Aim: To discuss extended retrorectal abscess secondary to blunt abdominal trauma as a cause of abdominal wall (AW) infection and impairment.
Methods: According to the CARE checklist, we describe a rare case of blunt abdominal trauma with late diagnosis of jejunal perforation with an abscess that extensively dissected the retromuscular space.
Results: A 65 years-old female patient experienced multiple traumas after a traffic collision.
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