Rodríguez Acosta Ivan Javier, Peralta Pérez Jocelyn Juceth, González Rosero Félix José, Ríos Giraldo Ana María, Rincón Carrillo Laura Daniela, Tanaka Takegami Mayumi, Dussan Tovar Catalina Andrea, Quiroz Alfaro Alejandro José
Universidad Libre, Barranquilla, Colombia.
Universidad Metropolitana, Barranquilla, Colombia.
Clin Med Insights Case Rep. 2025 Jun 6;18:11795476251346608. doi: 10.1177/11795476251346608. eCollection 2025.
Diverticular disease of the small bowel is a rare, generally asymptomatic condition with a challenging diagnostic approach and the potential for life-threatening complications. While diverticular disease can manifest in any part of the gastrointestinal tract, its occurrence in the jejunum is exceptionally uncommon, with an incidence of up to 1%. Although rare, complications from diverticular disease of the small bowel can arise in up to 10% of cases, usually manifesting as signs and symptoms mimicking other etiologies or an acute abdomen. In this case report, we present the management of an elderly male patient with multiple comorbidities who developed an acute abdomen during his intensive care unit stay. The patient required surgical intervention, which revealed numerous complicated diverticula of the small bowel, affecting the jejunum, as the underlying cause of his symptoms.
小肠憩室病是一种罕见的、通常无症状的疾病，其诊断方法具有挑战性，且有可能引发危及生命的并发症。虽然憩室病可出现在胃肠道的任何部位，但在空肠中发生的情况极为罕见，发病率高达1%。尽管罕见，但小肠憩室病的并发症在高达10%的病例中可能出现，通常表现为类似其他病因的体征和症状或急腹症。在本病例报告中，我们介绍了一名患有多种合并症的老年男性患者在重症监护病房住院期间发生急腹症的治疗情况。患者需要手术干预，术中发现大量复杂的小肠憩室，累及空肠，这是其症状的根本原因。
