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.
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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