Cunningham Steven C, Gannon Christopher J, Napolitano Lena M
General Surgery and Critical Care, VA Maryland Health Care System, Baltimore, Baltimore, MD 21201, USA.
Am J Surg. 2005 Jul;190(1):37-8. doi: 10.1016/j.amjsurg.2005.03.024.
Diffuse jejunoileal diverticulosis with pneumoperitoneum but without peritonitis is an uncommon but well-documented entity. Cases of jejunoileal diverticular perforation in which the perforation is evident are managed with resection of the diseased bowel and primary anastomosis. In the absence of an intraoperative finding of a perforation or an area of discrete inflammation, copious irrigation and closure of the abdomen is appropriate in cases of diffuse small-bowel diverticulosis.
伴有气腹但无腹膜炎的弥漫性空回肠憩室病是一种罕见但有充分文献记载的病症。空回肠憩室穿孔且穿孔明显的病例，采用病变肠段切除及一期吻合术进行处理。对于弥漫性小肠憩室病，若术中未发现穿孔或局限性炎症区域，则进行大量冲洗并关闭腹腔是合适的。
