TY - JOUR
AR - SCR-2020-12-106
TI - Acute Abdomen – Rare Cause, Accurate Diagnosis, Simple Solution
AU - Eunice Vieira e , Monteiro
AU - Paulo , Soares
JO - Surgical Case Reports
PY - 2020
DA - Mon 07, Dec 2020
SN - 2613-5965
DO - http://dx.doi.org/10.31487/j.SCR.2020.12.06
UR - https://www.sciencerepository.org/acute-abdomen-rare-cause-accurate-diagnosis-simple-solution_SCR-2020-12-106 
KW -  Jejunal diverticulitis, acute abdomen, emergency surgery
AB - Jejunal diverticulitis is a rare disease with higher prevalence among patients between 60 and 70 years and
slightly more common in men. They are false diverticula located predominantly on the mesenteric side of
the bowel but 10% develop complications which result in major surgery and high overall mortality. Authors
report a case of a 63-year-old patient who presented to our department with small bowel perforation. Patient
was taken to the operating room where he underwent exploratory laparotomy; intra-operatively a perforated
jejunal diverticula with thickened adjacent mesentery and fibrinous debris was found. The surgical option
was segmental enterectomy of 20cm, 15cm apart from the angle of Treitz. Perforation of jejunal diverticula
should be considered in the differential diagnosis in elderly male patients presenting with an acute abdomen
at the emergency department. The diagnosis is challenging and bowel resection with primary anastomosis
is the treatment of choice. Although the disease is extremely rare it is important to be aware of the mortality
rates associated with delay in the diagnosis and intervention.