Janevska D, Trajkovska M, Janevski V, Serafimoski V
University Gastroenterohepathology Clinic, Skopje, R. Macedonia.
Pril (Makedon Akad Nauk Umet Odd Med Nauki). 2013;34(1):175-7.
Small bowel diverticulosis (SBD) is a rare condition. In most cases it is asymptomatic, but sometimes it can be manifested with chronic non-specific or acute symptoms. Because of the absence of pathognomonic signs and symptoms and truly reliable diagnostic tests, SBD is hard to diagnose and this is usually done incidentally by radiographic examination or during laparatomy. For uncomplicated patients, those with chronic abdominal pain, syndromes of malabsorption related to jejunoileal diverticulosis, bacterial overgrowth or an episode of intestinal obstruction, as in our case, conservative management is the initial option for treatment. A case of a patient with obstructive symptoms of the gastrointestinal tract due to SBD that was conservatively treated and had a positive outcome is presented.
小肠憩室病(SBD)是一种罕见疾病。在大多数情况下,它是无症状的,但有时会表现为慢性非特异性症状或急性症状。由于缺乏特征性的体征和症状以及真正可靠的诊断测试,SBD很难诊断,通常是在进行放射学检查或剖腹手术时偶然发现。对于无并发症的患者,如那些有慢性腹痛、与空回肠憩室病相关的吸收不良综合征、细菌过度生长或肠梗阻发作的患者,如我们的病例,保守治疗是初始治疗选择。本文介绍了一例因SBD导致胃肠道梗阻症状且经保守治疗取得良好效果的患者。