Zeino Zainab, Zeno Najah, Nassan Lina Kour, Alkhaleel Wael, Ghazal Ahmad
Faculty of Medicine, University of Aleppo, Aleppo, Syria.
Department of General Surgery, University of Aleppo Hospital, Aleppo, Syria.
Ann Med Surg (Lond). 2022 Jun 28;80:104106. doi: 10.1016/j.amsu.2022.104106. eCollection 2022 Aug.
and importance: Acquired small bowel diverticulosis is rare 1% and the ileum is the less frequent occurring site 15%. Most cases were multiple and asymptomatic. This is the first case of perforated terminal ileum diverticula in a 32-year-old woman and successfully managed surgically.
We describe a rare case of terminal ileal diverticulosis, one of the diverticula was perforated, in a 32-year-old female who presented with a 2-days history of sudden epigastric and periumbilical pain and had been managing surgically. At surgery, we found multiple diverticula, one of them was perforated. Microscopically, the specimen confirmed that the diagnosis was diverticulosis.
Diverticulosis should be included in the differential diagnosis of a sudden epigastric and periumbilical pain even in this age.
及其重要性：后天性小肠憩室病罕见（占1%），回肠是较少发生的部位（占15%）。大多数病例为多发且无症状。这是首例32岁女性终末回肠憩室穿孔病例，经手术成功治疗。
我们描述了一例罕见的终末回肠憩室病病例，其中一个憩室穿孔，患者为32岁女性，有2天突发上腹部和脐周疼痛病史，已接受手术治疗。手术中，我们发现多个憩室，其中一个穿孔。显微镜检查显示，标本证实诊断为憩室病。
即使在这个年龄段，憩室病也应纳入突发上腹部和脐周疼痛的鉴别诊断。
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