Albahli Meshael S, Albugami Shoag J, Alabdulaaly Nourah, Alshammari Naif M
General Surgery, Prince Sultan Military Medical City, Riyadh, SAU.
Trauma and Acute Care Surgery, Prince Sultan Military Medical City, Riyadh, SAU.
Cureus. 2024 Dec 5;16(12):e75129. doi: 10.7759/cureus.75129. eCollection 2024 Dec.
Jejunal diverticulum perforation is a rare condition and presents diagnostic challenges. A 41-year-old male presented to the emergency room with a history of vague, generalized, and continuous abdominal pain for two days. He was vitally stable; however, the abdominal examination revealed a soft and distended abdomen with positive rebound tenderness. A computed tomography scan with contrast showed signs of a perforated proximal jejunal segment, along with adjacent pneumoperitoneum and a small fluid collection. The patient underwent diagnostic laparoscopy, which was converted to a midline laparotomy for further exploration of the small bowel. An 8-cm jejunal diverticulum with micro-perforation and abscess was identified during the procedure. The pathological diagnosis confirmed acute diverticulitis with abscess formation, and malignancy was ruled out. The patient remained stable throughout his postoperative recovery and was discharged on the sixth postoperative day.
空肠憩室穿孔是一种罕见病症，存在诊断挑战。一名41岁男性因持续两天的模糊、全身性、持续性腹痛病史前往急诊室就诊。他生命体征稳定；然而，腹部检查发现腹部柔软且膨隆，有反跳痛阳性。增强计算机断层扫描显示近端空肠段穿孔迹象，伴有邻近的气腹和少量液体积聚。患者接受了诊断性腹腔镜检查，随后转为中线剖腹探查术以进一步探查小肠。术中发现一个8厘米的空肠憩室，伴有微小穿孔和脓肿。病理诊断证实为急性憩室炎伴脓肿形成，排除恶性肿瘤。患者术后恢复过程中一直保持稳定，术后第六天出院。
