Pajtak Renata, Ramadan Abdullah, Strauss Paul
Department of General Surgery, Central Gippsland Health, 155 Guthridge Parade Sale, Melbourne, VIC 3850, Australia.
J Surg Case Rep. 2023 May 15;2023(5):rjad253. doi: 10.1093/jscr/rjad253. eCollection 2023 May.
Complicated jejunal diverticulosis is a difficult entity to diagnose, which can cause significant morbidity and mortality. We present the case of an 88-year-old female who presented with a unique complication of small bowel diverticulosis progressing to a strangulated diverticulum requiring emergency surgery. We present the case of an 88-year-old female who presented with abdominal pain associated with a new mass on a background of perforated diverticulitis and previous laparoscopic abdominal surgeries for division of adhesions. Due to high suspicion for the mass containing necrotic bowel, the patient was taken directly to theatre for an exploratory laparotomy and was found to have ischaemic small bowel secondary to a strangulated jejunal diverticulum. When evaluating the acute abdomen consideration should be given to the diagnosis of a strangulated jejunal diverticulum causing ischaemic small bowel, with a view to expedite to emergency surgery as the primary treatment.
复杂性空肠憩室病是一种难以诊断的疾病，可导致严重的发病率和死亡率。我们报告一例88岁女性患者，其小肠憩室病出现独特并发症，进展为绞窄性憩室，需要紧急手术。我们报告一例88岁女性患者，其在憩室炎穿孔和既往腹腔镜腹部粘连松解手术背景下，出现腹痛并伴有新肿块。由于高度怀疑肿块包含坏死肠段，患者直接被送往手术室进行剖腹探查，结果发现是绞窄性空肠憩室继发缺血性小肠。在评估急腹症时，应考虑绞窄性空肠憩室导致缺血性小肠的诊断，以便尽快进行急诊手术作为主要治疗方法。
