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Chirurgia 2005 October;18(5):353-6

Copyright © 2005 EDIZIONI MINERVA MEDICA

language: Italian

The small-bowel diverticula: description of a clinic case

Navarra G. G., Selva S., Mitolo I. C., Bonomi S., Virzi S.


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Jejunoileal diverticula is a rare condition that in the major of cases is asyntomatic. However, this entity should not be neglected, because it may be the cause of chronic non-specific abdominal symptoms and acute complications, including haemorrhage, intestinal obstruction,diverticulitis and perforation. Owing to the rarity of these lesions and their complication, diagnosis is often difficult and delayed, resulting in an increase of morbidity and mortality. It isn't infrequent that the surgeon may observe the small-bowel diverticula accidentally, on the occasion of laparotomies carried out in emergency or for the other pathologies. We reported a rare case of perforated jejunal diverticula in a 37-year old man, reached to our observation for non-specific abdominal symptoms, who progressively evolve into acute clinical abdominal pain with radiological signs of pneumoperitoneum and worsening of inflammation signs; the patient was immediately operate of jejunal resection without complication and he was discharged from hospital after eight days after the operation. We discuss besides the etiology, pathogenesis, management and the difficulty of early diagnosis. In conclusion, jejuno-ileal diverticula should not be regarded as an insignificant finding, because it may lead to chronic and acute complications and the early diagnosis, with adequate treatment may lower the morbidity and mortality.

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