Khan Huma Sabir, Ayyaz Mahmood
Postgraduate Surgical Trainee, Surgical Unit-II, Services Hospital, Lahore.
J Coll Physicians Surg Pak. 2015 Apr;25 Suppl 1:S20-1.
Diverticulosis of jejunum is a relatively rare disease of bowel. Jejunal diverticula are false diverticula with projections of mucosa and serosa without the muscular layer. These manifest as diverticulitis, bleeding, perforation or intestinal obstruction. There should be a high index of suspicion when patients present with chronic central abdominal pain, malabsorption and anaemia. Sometimes they are just incidentally picked up on investigations. Laparoscopy can be valuable in diagnosis and treatment as most of the times jejunal diverticulosis can be treated conservatively with surgery required for generalized peritonitis and massive gastrointestinal bleeding. A 33-year man repeatedly presented to emergency with abdominal pain which resolved with analgesics until he developed constipation, vomiting, fever and severe abdominal pain. He had to undergo laparotomy which revealed multiple jejunal diverticula. Resection of the involved gut portion was done. The patient did fine postoperatively.
空肠憩室病是一种相对罕见的肠道疾病。空肠憩室为假性憩室，由黏膜和浆膜突出形成，无肌层。这些憩室可表现为憩室炎、出血、穿孔或肠梗阻。当患者出现慢性中腹部疼痛、吸收不良和贫血时，应高度怀疑此病。有时它们只是在检查时偶然被发现。腹腔镜检查在诊断和治疗中可能很有价值，因为大多数情况下，空肠憩室病可采用保守治疗，仅在发生弥漫性腹膜炎和大量胃肠道出血时才需要手术。一名33岁男性反复因腹痛到急诊科就诊，服用镇痛药后腹痛缓解，直到出现便秘、呕吐、发热和严重腹痛。他不得不接受剖腹手术，术中发现多个空肠憩室。对受累肠段进行了切除。患者术后恢复良好。
