Accordino R, Zangrandi A, Inzani E, Delfrate R, Gasparini G, Lagasi L
Divisione di Chirugia Generale, Presidio Ospedaliero Borgovalditaro, PR.
Minerva Chir. 1998 May;53(5):427-30.
Jejunal diverticulosis is a rare and often asymptomatic disease, generally presenting as an occasional finding during laparotomy for other diseases. There are no established criteria for the treatment of such diverticula. Due to the possible onset of acute complications, surgical management must be considered. Personal experience on a case of jejunal diverticulosis in a woman who presented with acute complications of surgical peritoneal adhesions is described. Through examinations of small intestine discovered many diverticula, mainly in the mesenteric side; two diverticula were particularly large. Even though there appeared to be no symptoms due to the diverticula, major diverticula were considered at risk for acute complications. Because their reduction was not easily achievable, they were resected and enterotomies were stitched. Postoperative course was uneventful and after 2 years the patient is alive and well. Features of this rare entity are analyzed with regard to data reported in the literature, with special reference to some pathogenetic theories.
空肠憩室病是一种罕见且通常无症状的疾病，一般是在因其他疾病进行剖腹手术时偶然发现。对于此类憩室的治疗尚无既定标准。由于可能会出现急性并发症，因此必须考虑手术治疗。本文描述了一名患有手术性腹膜粘连急性并发症的女性空肠憩室病病例的个人经验。通过对小肠的检查发现了许多憩室，主要位于肠系膜侧；有两个憩室特别大。尽管这些憩室似乎没有引起症状，但较大的憩室被认为有发生急性并发症的风险。由于不易将其复位，故将其切除并缝合肠切开处。术后过程顺利，两年后患者健在。结合文献报道的数据，特别是一些发病机制理论，对这一罕见病症的特征进行了分析。
