Zingales Francesca, Pivetta Ezio, Vittadello Fabrizio, Franchi Federica, Da Re Chiara, Corsini Augusto
Chirurgia Generale, Azienda Ospedaliera di Padova.
Chir Ital. 2006 Nov-Dec;58(6):803-6.
The diagnosis of intestinal diverticulosis is difficult to achieve preoperatively because the clinical symptoms are usually non-specific. Intestinal bleeding is a rare complication of jejunal diverticulosis. Its diagnosis and treatment can be difficult and an emergency laparotomy is often needed. We report a case of massive intestinal bleeding from jejunal diverticulosis. The correct diagnosis was first suggested by CT and then confirmed at laparotomy. The treatment was a segmental jejunal resection with primary anastomosis.
由于临床症状通常不具有特异性,术前很难诊断肠道憩室病。肠道出血是空肠憩室病的一种罕见并发症。其诊断和治疗可能很困难,通常需要急诊剖腹手术。我们报告一例空肠憩室病导致的大量肠道出血病例。正确诊断首先由CT提示,然后在剖腹手术中得到证实。治疗方法是行空肠节段性切除并一期吻合。