Prough Haley, Jaffe Sarah, Jones Brian
Saint Vincent Hospital, Erie, PA, USA.
J Surg Case Rep. 2019 Jan 31;2019(1):rjz005. doi: 10.1093/jscr/rjz005. eCollection 2019 Jan.
Cases of small bowel diverticulitis, excluding Meckel's diverticulitis, are rare. Small bowel diverticular disease has been reported in approximately 0.3-1.3% cases of post mortem studies (Fisher JK, Fortin D. Partial small bowel obstruction secondary to ileal diverticulitis. 1977;122:321-322.) and in only 0.5-1.9% of contrast media study cases (Cattell RB, Mudge TJ. The surgical significance of duodenal diverticula. 1952;246:317-324). Diverticula located within the small bowel may have presentations and complications similar to that of colonic diverticular disease. However, there is no consensus for the management for small bowel diverticulitis. Given that small bowel diverticulitis, like a colonic diverticulitis, can cause an acute abdomen, surgical intervention may be required. In this particular case, a patient presented with symptoms of lower abdominal pain, nausea and fever. Following an x-ray and CT scan, the patient underwent an open laparotomy and small bowel resection of a portion of jejunum that contained a symptomatic diverticulum.
除梅克尔憩室炎外，小肠憩室炎病例较为罕见。据尸检研究报告，小肠憩室病约占0.3 - 1.3%（Fisher JK, Fortin D. 回肠憩室炎继发部分小肠梗阻。1977;122:321 - 322.），而在造影剂研究病例中仅占0.5 - 1.9%（Cattell RB, Mudge TJ. 十二指肠憩室的外科意义。1952;246:317 - 324）。位于小肠内的憩室可能具有与结肠憩室病相似的表现和并发症。然而，对于小肠憩室炎的治疗尚无共识。鉴于小肠憩室炎与结肠憩室炎一样可导致急腹症，可能需要手术干预。在该特定病例中，一名患者出现下腹痛、恶心和发热症状。经X线和CT扫描后，患者接受了开腹手术，切除了含有有症状憩室的部分空肠。
