Haiderer O, Wustinger E
Chirurgische Abteilung, Landeskrankenhaus, Deutschlandsberg.
Wien Med Wochenschr. 1991;141(3):45-6.
A 77 year old man was treated for duodenal ulcer and obstipation for 2 years; the diagnosis was not confirmed by endoscopy. Because of recurrent and increasing abdominal pain the patient was admitted to hospital as recurrent duodenal ulcer; this was excluded by emergency endoscopy. At laparotomy a sealed-off perforation of an inflamed jejunal diverticulum was identified complicating the jejunal diverticulosis. The entire jejunal segment involved by diverticulosis was removed. The patient made an uneventful recovery and is well 15 months after surgery. Jejunal diverticulosis may be associated with a variety of complications; it should be considered, especially in the elderly patient, with recurrent gastrointestinal symptoms of obscure origin.
一名77岁男性因十二指肠溃疡和便秘接受治疗2年；内镜检查未确诊。由于反复出现且加重的腹痛，该患者以复发性十二指肠溃疡入院；急诊内镜检查排除了该病。剖腹手术时发现一个发炎的空肠憩室封闭性穿孔，并发空肠憩室病。切除了受累的整个空肠段。患者术后恢复顺利，术后15个月情况良好。空肠憩室病可能与多种并发症相关；尤其是老年患者出现不明原因的反复胃肠道症状时，应考虑该病。
