Tankova L, Berberova M, Purvanov P, Tsankov Ts, Gegova A
Clinical Centre of Gastroenterology, Medical University Hospital Queen Joanna, Sofia, Bulgaria.
Chirurgia (Bucur). 2007 Sep-Oct;102(5):603-6.
We report herein the case of a small bowel diverticulum perforation which has caused peritonitis and consequently has led to operation. The patient, a 79-year old woman, was hospitalized due to etiological clarifying and specifying of a newly diagnosed diffuse liver pathology. During the hospital stay, she has received severe abdominal pain with features of peritonitis. Suspecting perforated appendicitis she has undergone an operation. The explorative laparotomy has identified a purulent exudation in the abdominal cavity, resulting from a perforated inflammatory jejunal diverticulum and multiple middle-size diverticula all along the small bowel and the colon. The reported case as well as the review of the literature have shown that various and sometimes potentially fatal complications could occur even for such a relatively banal insignificant entity as is diverticular disease in elderly patients.
我们在此报告一例小肠憩室穿孔导致腹膜炎并进而引发手术的病例。患者为一名79岁女性，因新诊断出的弥漫性肝脏病变的病因明确和具体诊断而住院。住院期间，她出现了具有腹膜炎特征的严重腹痛。怀疑为穿孔性阑尾炎，她接受了手术。剖腹探查发现腹腔内有脓性渗出物，是由一个发炎的空肠憩室穿孔以及小肠和结肠沿线多个中等大小的憩室引起的。所报告的病例以及文献回顾表明，即使对于老年患者中憩室病这种相对平常且看似无足轻重的病症，也可能发生各种甚至有时是潜在致命的并发症。
