Kavanagh Crystal, Kaoutzanis Christodoulos, Spoor Kristen, Friedman Paul F
Department of Surgery, Saint Joseph Mercy Ann Arbor, Michigan, USA.
BMJ Case Rep. 2014 Mar 22;2014:bcr-2013-202673. doi: 10.1136/bcr-2013-202673.
Jejunal diverticulosis is a rare entity with a reported clinical incidence of 0.5%. However, symptoms relating to its presence are non-specific, which does not only delay diagnosis, but also increases the risk of serious complications approaching 15%. We report a case of perforated jejunal diverticulum presented with a 6-month history of significant weight loss and acute abdominal pain. We discuss clinical presentation in both simple and complex cases, diagnostic pitfalls and management strategies.
空肠憩室病是一种罕见疾病,据报道其临床发病率为0.5%。然而,与之相关的症状并无特异性,这不仅会延误诊断,还会使严重并发症的风险增加近15%。我们报告一例空肠憩室穿孔病例,患者有6个月显著体重减轻和急性腹痛病史。我们讨论了简单和复杂病例的临床表现、诊断陷阱及管理策略。