Andour Hajar, Loubaris Sarah, Zahi Hiba, Imrani Kaoutar, Nassar Itimade, Billah Nabil Moatassim
Abdominal Radiology Department, Ibn-Sina Hospital, Rabat, Morocco.
Radiol Case Rep. 2024 Nov 6;20(1):556-559. doi: 10.1016/j.radcr.2024.10.016. eCollection 2025 Jan.
Diverticula of the jejunum is a rare but real disease with various manifestations. The diagnosis is often missed due to a lack of awareness, leading to delays and added complications, and consequently increased morbidity and mortality. Management remains controversial, ranging from a conservative approach that recommends rest, analgesics with close monitoring even for mildly complicated cases, to an aggressive approach justified by the increased risk of complications. We report the case of a 40- year-old-woman with no significant medical history who presented with recurrent left abdominal pain. A CT-scan revealed multiple jejunal diverticula, some of which were inflamed, leading to a final diagnosis of jejunal diverticulitis. This case discusses the clinical presentation, complications, diagnosis and management of this condition.
空肠憩室是一种罕见但确实存在的疾病,有多种表现形式。由于认识不足,诊断常常被漏诊,导致延误并增加并发症,进而增加发病率和死亡率。治疗方法仍存在争议,从保守方法(即建议休息、使用镇痛药并密切监测,即使是轻度复杂病例)到因并发症风险增加而采用的积极方法。我们报告一例40岁女性病例,她没有重大病史,出现反复左腹痛。CT扫描显示多个空肠憩室,其中一些有炎症,最终诊断为空肠憩室炎。本病例讨论了这种疾病的临床表现、并发症、诊断和治疗。