Elfanagely Yousef, Tse Chung Sang, Patil Priyanka, Lueckel Stephanie
Internal Medicine, Warren Alpert Medical School of Brown University, Providence, USA.
Gastroenterology, Warren Alpert Medical School of Brown University, Providence, USA.
Cureus. 2020 May 28;12(5):e8347. doi: 10.7759/cureus.8347.
Diverticular disease is common in the Western population and can cause considerable morbidity. The prevalence of colonic diverticulosis reaches 60% by the age of 60 years. Small bowel diverticulosis is much rarer and, when present, most commonly occurs in the duodenum. We herein report an elderly woman with jejunal diverticulosis complicated by diverticulitis and small bowel obstruction, who subsequently underwent small bowel resection and primary anastomosis. As demonstrated by this case, jejunal diverticulitis can cause serious complications and given the possibility of recurrence and serious complications, surgical options should be discussed early in the course of medical care.
憩室病在西方人群中很常见，可导致相当大的发病率。结肠憩室病在60岁时的患病率达到60%。小肠憩室病要罕见得多，一旦出现，最常发生在十二指肠。我们在此报告一名老年女性，患有空肠憩室病并伴有憩室炎和小肠梗阻，随后接受了小肠切除术和一期吻合术。如本病例所示，空肠憩室炎可导致严重并发症，鉴于存在复发和严重并发症的可能性，应在医疗过程早期讨论手术选择。
