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空肠憩室病伴穿孔——急性腹痛的一项具有挑战性的鉴别诊断:病例报告

Jejunal diverticulosis with perforation - a challenging differential diagnosis of acute abdomen: case report.

作者信息

Natarajan Kiruthiga, Phansalkar Manjiri, Varghese Renu G'boy, Thangiah G

机构信息

Post Graduate, Department of Pathology, Pondicherry Institute of Medical Sciences , Ganapathychettykulam, Puducherry, India .

Professor, Department of Pathology, Pondicherry Institute of Medical Sciences , Ganapathychettykulam, Puducherry, India .

出版信息

J Clin Diagn Res. 2015 Feb;9(2):ED03-4. doi: 10.7860/JCDR/2015/11210.5541. Epub 2015 Feb 1.

DOI:10.7860/JCDR/2015/11210.5541
PMID:25859462
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4378744/
Abstract

Multiple diverticulosis of the jejunum represents a very rare entity. Jejunal diverticula are found to be the rarest of all small bowel diverticula. The disease is usually asymptomatic and often becomes clinically relevant when complicated. This rarity makes it a difficult differential diagnosis. Related complications such as diverticulitis, perforation, and bleeding and/or intestinal obstruction appear in about 10-30% of the patients which increase the morbidity and mortality rates in such individuals. Here, we present a case of jejunal diverticulosis with perforation who presented with symptoms of acute abdominal pain, vomiting and fever along with a brief review of literature.

摘要

空肠多发性憩室是一种非常罕见的病症。空肠憩室是所有小肠憩室中最罕见的。该病通常无症状,在出现并发症时往往才具有临床意义。这种罕见性使其鉴别诊断困难。约10%-30%的患者会出现诸如憩室炎、穿孔、出血和/或肠梗阻等相关并发症,这增加了这些患者的发病率和死亡率。在此,我们报告一例空肠憩室病伴穿孔的病例,该患者表现为急性腹痛、呕吐和发热症状,并对相关文献进行简要回顾。

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本文引用的文献

1
Prevalence of duodenal diverticulum in South indians: a cadaveric study.南印度人十二指肠憩室的患病率:一项尸体研究。
ISRN Anat. 2013 Nov 7;2013:767403. doi: 10.5402/2013/767403. eCollection 2013.
2
Perforated isolated jejunal diverticulum: a rare aetiology of acute abdomen.孤立性空肠憩室穿孔:一种急性腹痛的罕见病因。
BMJ Case Rep. 2014 Mar 11;2014:bcr2013201533. doi: 10.1136/bcr-2013-201533.
3
Jejunal diverticulae: reports of two cases with review of literature.空肠憩室:两例报告并文献复习
Indian J Surg. 2009 Oct;71(5):238-44. doi: 10.1007/s12262-009-0077-5. Epub 2009 Oct 17.
4
Perforated jejunal diverticulum: A rare complication.空肠憩室穿孔:一种罕见的并发症。
Saudi J Gastroenterol. 2011 Sep-Oct;17(5):367. doi: 10.4103/1319-3767.84502.
5
Multiple giant diverticula of the jejunum causing intestinal obstruction: report of a case and review of the literature.空肠多发性巨大憩室致肠梗阻 1 例报告并文献复习
World J Emerg Surg. 2011 Mar 8;6(1):8. doi: 10.1186/1749-7922-6-8.
6
Small-bowel diverticulosis:imaging findings and review of three cases.小肠憩室病:影像学表现及三例病例分析
Gastroenterol Res Pract. 2009;2009:549853. doi: 10.1155/2009/549853. Epub 2009 Aug 2.
7
Jejunal diverticulosis is not always a silent spectator: a report of 4 cases and review of the literature.空肠憩室病并非总是悄无声息:4例报告及文献复习
World J Gastroenterol. 2008 Oct 14;14(38):5916-9. doi: 10.3748/wjg.14.5916.
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Intestinal motility in small bowel diverticulosis: a case report and review of the literature.小肠憩室病中的肠道动力:一例病例报告及文献综述
J Clin Gastroenterol. 2000 Jan;30(1):84-6. doi: 10.1097/00004836-200001000-00017.
9
Jejunal diverticulosis. A heterogenous disorder caused by a variety of abnormalities of smooth muscle or myenteric plexus.空肠憩室病。一种由平滑肌或肌间神经丛的多种异常引起的异质性疾病。
Gastroenterology. 1983 Sep;85(3):538-47.