Ramzee Ahmed Faidh, Khalaf Mohamed H, Ahmed Khalid, Latif Ejaz, Aribi Noreddin, Bouchiba Nizar, Singh Rajvir, Zarour Ahmad
Department of Surgery, Hamad General Hospital, Doha 3050, Qatar.
Department of Acute Care Surgery, Hamad General Hospital, Doha 3050, Qatar.
Case Rep Surg. 2020 Oct 21;2020:8891521. doi: 10.1155/2020/8891521. eCollection 2020.
Jejunoileal diverticulosis (JID) is a rare and nonspecific symptomatic disease. It is usually an acquired condition associated with false diverticula and integrated with colonic diverticulosis which can be diagnosed incidentally or later with complications. A sixty-nine-year-old male presented with sudden onset generalized abdominal pain. Computed tomography (CT) imaging was suggestive of ileal diverticulitis with localized perforation. The patient was treated conservatively with IV fluids and antibiotics and kept nil per orem for three days and discharged after symptoms subsided. The patient returned with a similar presentation but with a greater intensity. CT with oral contrast revealed evidence of distal ileal perforation. The terminal ileum was resected, and a double barrel ileostomy was created. Six months later, the stoma was reversed after resecting 50 cm of proximal terminal ileum which included all diverticula. The patient had a smooth postoperative recovery. Small bowel diverticulitis is generally managed conservatively unless the patient's clinical condition mandates urgent exploration. This report may add knowledge and lead to a change in clinical practice.
空肠回肠憩室病（JID）是一种罕见的非特异性症状性疾病。它通常是一种后天性疾病，与假性憩室有关，并与结肠憩室病相关，可偶然诊断或稍后出现并发症时诊断。一名69岁男性突发全腹疼痛。计算机断层扫描（CT）成像提示回肠憩室炎伴局限性穿孔。患者接受了静脉输液和抗生素保守治疗，禁食三天，症状缓解后出院。患者再次出现类似症状，但疼痛程度更重。口服造影剂的CT显示远端回肠穿孔的迹象。切除末端回肠，并进行双腔回肠造口术。六个月后，在切除包括所有憩室的近端末端回肠50厘米后，造口被还纳。患者术后恢复顺利。除非患者的临床状况需要紧急探查，小肠憩室炎一般采用保守治疗。本报告可能会增加相关知识，并导致临床实践的改变。
