Iliev H, Trnasković B, Stanković J
Acta Chir Iugosl. 1982;29(1):73-7.
A Case was demonstrated of perforated primary ulcer of jejunum in a young man aged 19. The ulcer was located on the antimesenterial side of the first jejunal twisting about 8 cm. from the duodeno-jejunal flexure. Besides this perforated ulcer, there was another one on the lower part of jejunum, just close to the mesenterial root, about 20 cm. away from the flexure. It was a covered perforation. Clinically, there existed a picture of acute abdomen; this patient was successfully treated by urgent laparotomy. A resection was made of the altered segment of jejunum in length of 40 cm. along with the reestablishment of the continuity by T-T anastomosis. Careful washing of peritoneal cavity and drainage of the Douglas cavity were further procedures.
一名19岁青年男性空肠原发性溃疡穿孔病例被展示。溃疡位于空肠第一段系膜对侧缘，距十二指肠空肠曲约8厘米处。除了这个穿孔性溃疡外，在空肠下段靠近肠系膜根部距曲约20厘米处还有一个溃疡，为闭合性穿孔。临床上有急腹症表现；该患者通过紧急剖腹手术成功治疗。切除了40厘米长的病变空肠段，并通过T形吻合术重建连续性。进一步的操作包括仔细冲洗腹腔和引流Douglas腔。
