Faculty of Medicine, Tartous University, Tartous, Syrian Arab Republic.
Karsh Division of Gastroenterology and Hepatology, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
BMC Surg. 2022 Mar 18;22(1):101. doi: 10.1186/s12893-022-01541-y.
Small intestine diverticula are rare findings that were mostly reported in the elderly population as asymptomatic findings. However, they can also present with a wide range of symptoms (bloating, early satiety, chronic abdominal discomfort, and diarrhea/steatorrhea) or complications (gastrointestinal bleeding, small bowel obstruction, acute diverticulitis, or perforation) which in turn warrant medical treatment or urgent surgical intervention.
This is a case report of an 84-year-old female who presented with an acute surgical abdomen. An exploratory laparotomy revealed complicated small bowel diverticula with a jejunal diverticulum perforation, for which a diverticulectomy was performed.
Throughout this paper, we are aiming to outweigh the consideration of the possibility of complicated small bowel diverticula as a differential in the evaluation of any acute abdomen, especially in the elderly, which warrants emergency surgical management.
小肠憩室是一种罕见的发现，多在老年人群中作为无症状发现报告。然而，它们也可能表现出广泛的症状（腹胀、早饱、慢性腹部不适和腹泻/脂肪泻）或并发症（胃肠道出血、小肠梗阻、急性憩室炎或穿孔），这反过来又需要医疗治疗或紧急手术干预。
这是一例 84 岁女性的病例报告，表现为急性外科腹痛。剖腹探查显示复杂的小肠憩室，伴有空肠憩室穿孔，行憩室切除术。
在本文中，我们旨在强调在评估任何急性腹痛时，特别是在老年人中，应考虑复杂的小肠憩室作为鉴别诊断的可能性，这需要紧急手术治疗。
