Perforated jejunal diverticulitis in a nonagenarian veteran: A case report

Jordan Grubbs, Sergio Huerta

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Introduction Jejunal diverticular (JD) disease is an uncommon occurrence that frequently present as a diagnostic dilemma. The correct diagnosis from complications of JD is typically made at laparotomy. Most JD are asymptomatic. Of clinically significant small bowel diverticula, only 15% present with surgical problems including obstruction, gastrointestinal bleed, and perforation. Presentation of case A 90-year-old man presented to the hospital with abdominal pain. He was clinically stable with local tenderness in the left lower quadrant. Computed tomography demonstrated a dot of free air near the sigmoid and sigmoid diverticula. He continued to have pain and clinically deteriorated following a short period of observation. He underwent an exploratory laparotomy that revealed perforated JD. Conclusion Perforation from JD is exceedingly rare. Due to their infrequent clinical significance, complications from JD are difficult to diagnose and therapeutic options are typically made intraoperatively. Any deviation from the expected positive pathway in the management of a suspected entity should prompt an immediate reassessment as well as definitive therapeutic options.

Original languageEnglish (US)
Pages (from-to)77-79
Number of pages3
JournalInternational Journal of Surgery Case Reports
Volume40
DOIs
StatePublished - 2017

Fingerprint

Diverticulitis
Diverticulum
Sigmoid Colon
Veterans
Jejunal Diseases
Laparotomy
Abdominal Pain
Air
Tomography
Observation
Pain
Therapeutics

Keywords

  • Acute abdomen
  • Case report
  • Diverticulitis
  • Perforated viscus
  • Peritonitis

ASJC Scopus subject areas

  • Surgery

Cite this

Perforated jejunal diverticulitis in a nonagenarian veteran : A case report. / Grubbs, Jordan; Huerta, Sergio.

In: International Journal of Surgery Case Reports, Vol. 40, 2017, p. 77-79.

Research output: Contribution to journalArticle

@article{fe3ee4f525a445c39988ae0fdfa05c88,
title = "Perforated jejunal diverticulitis in a nonagenarian veteran: A case report",
abstract = "Introduction Jejunal diverticular (JD) disease is an uncommon occurrence that frequently present as a diagnostic dilemma. The correct diagnosis from complications of JD is typically made at laparotomy. Most JD are asymptomatic. Of clinically significant small bowel diverticula, only 15{\%} present with surgical problems including obstruction, gastrointestinal bleed, and perforation. Presentation of case A 90-year-old man presented to the hospital with abdominal pain. He was clinically stable with local tenderness in the left lower quadrant. Computed tomography demonstrated a dot of free air near the sigmoid and sigmoid diverticula. He continued to have pain and clinically deteriorated following a short period of observation. He underwent an exploratory laparotomy that revealed perforated JD. Conclusion Perforation from JD is exceedingly rare. Due to their infrequent clinical significance, complications from JD are difficult to diagnose and therapeutic options are typically made intraoperatively. Any deviation from the expected positive pathway in the management of a suspected entity should prompt an immediate reassessment as well as definitive therapeutic options.",
keywords = "Acute abdomen, Case report, Diverticulitis, Perforated viscus, Peritonitis",
author = "Jordan Grubbs and Sergio Huerta",
year = "2017",
doi = "10.1016/j.ijscr.2017.09.011",
language = "English (US)",
volume = "40",
pages = "77--79",
journal = "International Journal of Surgery Case Reports",
issn = "2210-2612",
publisher = "Elsevier BV",

}

TY - JOUR

T1 - Perforated jejunal diverticulitis in a nonagenarian veteran

T2 - A case report

AU - Grubbs, Jordan

AU - Huerta, Sergio

PY - 2017

Y1 - 2017

N2 - Introduction Jejunal diverticular (JD) disease is an uncommon occurrence that frequently present as a diagnostic dilemma. The correct diagnosis from complications of JD is typically made at laparotomy. Most JD are asymptomatic. Of clinically significant small bowel diverticula, only 15% present with surgical problems including obstruction, gastrointestinal bleed, and perforation. Presentation of case A 90-year-old man presented to the hospital with abdominal pain. He was clinically stable with local tenderness in the left lower quadrant. Computed tomography demonstrated a dot of free air near the sigmoid and sigmoid diverticula. He continued to have pain and clinically deteriorated following a short period of observation. He underwent an exploratory laparotomy that revealed perforated JD. Conclusion Perforation from JD is exceedingly rare. Due to their infrequent clinical significance, complications from JD are difficult to diagnose and therapeutic options are typically made intraoperatively. Any deviation from the expected positive pathway in the management of a suspected entity should prompt an immediate reassessment as well as definitive therapeutic options.

AB - Introduction Jejunal diverticular (JD) disease is an uncommon occurrence that frequently present as a diagnostic dilemma. The correct diagnosis from complications of JD is typically made at laparotomy. Most JD are asymptomatic. Of clinically significant small bowel diverticula, only 15% present with surgical problems including obstruction, gastrointestinal bleed, and perforation. Presentation of case A 90-year-old man presented to the hospital with abdominal pain. He was clinically stable with local tenderness in the left lower quadrant. Computed tomography demonstrated a dot of free air near the sigmoid and sigmoid diverticula. He continued to have pain and clinically deteriorated following a short period of observation. He underwent an exploratory laparotomy that revealed perforated JD. Conclusion Perforation from JD is exceedingly rare. Due to their infrequent clinical significance, complications from JD are difficult to diagnose and therapeutic options are typically made intraoperatively. Any deviation from the expected positive pathway in the management of a suspected entity should prompt an immediate reassessment as well as definitive therapeutic options.

KW - Acute abdomen

KW - Case report

KW - Diverticulitis

KW - Perforated viscus

KW - Peritonitis

UR - http://www.scopus.com/inward/record.url?scp=85029719640&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85029719640&partnerID=8YFLogxK

U2 - 10.1016/j.ijscr.2017.09.011

DO - 10.1016/j.ijscr.2017.09.011

M3 - Article

C2 - 28942228

AN - SCOPUS:85029719640

VL - 40

SP - 77

EP - 79

JO - International Journal of Surgery Case Reports

JF - International Journal of Surgery Case Reports

SN - 2210-2612

ER -