Putzki H, Student A
Zentralbl Chir. 1987;112(11):696-702.
Six cases of diverticulosis of the small intestine are reported in this paper. Described in some detail is the pathological pattern of diverticula in jejunum and ileum. There are chronic courses with recurrent complaints in the epigastric region and with malabsorption syndrome which may lead to megaloblastic anaemia, steatorrhoea, and dermatosis. Acute processes are caused by perforation, diverticulitis, and haemorrhage. Ileus can develop owing to strangulation or, in less frequent cases, owing to incarceration of enteroliths. Chronic pneumoperitoneum may be attributable to massive jejunal diverticulosis.
本文报告6例小肠憩室病。详细描述了空肠和回肠憩室的病理形态。病程呈慢性,上腹部反复不适,并伴有吸收不良综合征,可导致巨幼细胞贫血、脂肪泻和皮肤病。急性病变由穿孔、憩室炎和出血引起。肠梗阻可因肠管绞窄所致,较少见的情况下,也可因肠石嵌顿引起。慢性气腹可能与大量空肠憩室病有关。