导致麻痹性肠梗阻的急性腹痛的罕见原因之一：空肠憩室炎。
One of the Rare Causes of Acute Abdomen Leading to Subileus: Jejunal Diverticulitis.
作者信息
Aydın Elçin, Yerli Hasan, Avcı Tevfik, Yılmaz Tuğbahan, Gülay Hüseyin
机构信息
Department of Radiology, Başkent University Zübeyde Hanım Hospital, İzmir, Turkey.
Department of General Surgery, Başkent University Zübeyde Hanım Hospital, İzmir, Turkey.
出版信息
Balkan Med J. 2016 May;33(3):354-6. doi: 10.5152/balkanmedj.2016.141244. Epub 2016 May 1.
BACKGROUND
Jejunal diverticulitis is one of the rare causes of acute abdomen generally seen in the elderly. Jejunal diverticulosis was defined as the herniation of the mucosa and the submucosa from the inside of the muscular layer of the bowel wall on the mesenteric side of the intestine.
CASE REPORT
We presented the intraoperative and pathological findings of a 69-year-old male patient who had presented with complaints about abdominal pain, nausea, and vomiting and been operated upon due to subileus and peritonitis induced by large-sized jejunal diverticulitis, along with his computed tomography (CT) findings.
CONCLUSION
Jejunal diverticulitis is uncommon and may be a disease which might be difficult to diagnose when it develops on the basis of the large-sized diverticula resembling intestinal ansae. To the best of our knowledge, the computed tomography and intraoperative findings of a case in which partial resection is applied to the jejunum due to subileus have not been previously presented in the literature.
背景
空肠憩室炎是急性腹痛的罕见病因之一，多见于老年人。空肠憩室病被定义为肠黏膜和黏膜下层从肠壁系膜侧肌层内侧疝出。
病例报告
我们展示了一名69岁男性患者的术中及病理检查结果，该患者因腹痛、恶心和呕吐就诊，因大型空肠憩室炎引起的不全肠梗阻和腹膜炎接受手术，同时展示了他的计算机断层扫描（CT）结果。
结论
空肠憩室炎并不常见，当它基于类似肠袢的大型憩室发展时，可能是一种难以诊断的疾病。据我们所知，此前文献中尚未报道过因不全肠梗阻对空肠进行部分切除的病例的CT及术中检查结果。
Zotero 插件