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CC BY-NC-ND 4.0 · Journal of Coloproctology 2022; 42(01): 099-101
DOI: 10.1055/s-0041-1736296
Case Report

Multiple Jejunal Diverticulosis Complicated by Perforation: Case Report and a Brief Literature Review[*]

Luiz Carlos Benjamin do Carmo 
1   Emergency Surgery Division, Hospital São Luiz, Rede D'Or, São Paulo, Brazil
,
Fábio Guilherme Campos 
2   Colorectal Surgery Division, Gastroenterology Department, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil
,
Renato Barreto 
1   Emergency Surgery Division, Hospital São Luiz, Rede D'Or, São Paulo, Brazil
,
Diogo Fontes 
1   Emergency Surgery Division, Hospital São Luiz, Rede D'Or, São Paulo, Brazil
,
Thiago Ibiapina 
1   Emergency Surgery Division, Hospital São Luiz, Rede D'Or, São Paulo, Brazil
,
Sérgio Gontscharow 
1   Emergency Surgery Division, Hospital São Luiz, Rede D'Or, São Paulo, Brazil
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Abstract

Background Multiple small-bowel diverticulosis comprises a rare entity with probable underestimated incidence, and that may be the reason why it is sometimes overlooked when managing cases with peritonitis.

Case report In the present paper, we report the case of a 76-year-old male presenting abdominal pain and fever in an acute setting. Computed tomography (CT) scans revealed jejunal thickening and numerous images of saccular addition that were interpreted as jejunoileal diverticulitis. After an initial period of clinical treatment, surgical management was indicated based on a worsening clinical picture and the presence of an extraluminal focus of gas detected in a subsequent CT scan. Through a laparoscopic approach, multiple small-bowel diverticula and a tamponade perforation were found. A segmental intestinal resection was performed, and the patient was discharged after a ten days.

Conclusions Multiple jejunal diverticulosis is a rare condition that should be remembered in the setting of an acute abdomen. As it prevails among older patients, early diagnosis with radiological aid is crucial to establish the most adequate management, including intestinal resection, if necessary.

Keywords

case report - diverticulitis - jejunoileal diverticula - peritonitis - laparoscopic approach

* Work developed at the Emergency Surgery Division, Hospital São Luiz, Rede D'Or, São Paulo, Brazil.




Publication History

Received: 17 May 2021

Accepted: 06 August 2021

Article published online:
29 November 2021

© 2021. Sociedade Brasileira de Coloproctologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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