Intestinal Diverticulum Localized in Antimesenterial Side of Jejunum as a Reason of Perforation Peritonitis – Case Report
Authors:
I. Slaninka 1; J. Páral 2,1; M. Chobola 1
Authors place of work:
Chirurgická klinika FN a LF UK Hradec Králové, přednosta kliniky: prof. MUDr. Alexander Ferko, CSc.
1; Katedra válečné chirurgie, Fakulta vojenského zdravotnictví UO, Hradec Králové, vedoucí katedry:
doc. MUDr. Leo Klein, CSc.
2
Published in the journal:
Rozhl. Chir., 2009, roč. 88, č. 10, s. 577-579.
Category:
Monothematic special - Original
Summary
Authors present the case of patient with perforation of atypicaly localised diverticula of small intestine. The most important in clinical picture of patient was the sudden progress of sepsis and symptoms of organ failure. This status was progreding after the first operative revision of abdominal cavity when no explanation for peritonitis was found. During the second operation revision we found the perforated diverticula of the mesenterial side of distal jejunum. In the period after operation several complications such as wound healing failure and organs failure were occurred.
Key words:
intestinal diverticulum – jejunum – perforation – peritonitis – sepsis
Zdroje
1. Arnold, J. F., Pellicane, J. V. Meckel‘s diverticulum: A ten year experience. Am. Surg., 1997; 63: 354–359.
2. Chia-Yuan, L., Wen-Hsiung, Ch., Shee-Chan, L. Analysis of clinical manifestations of symptomatic acquired jejunoileal diverticular disease. World J. Gastroenterol., 2005; 11: 5557–5560.
3. Kouraklis, G., Glinavou, A., Mantas, S., et al. Clinical Implications of the Small Bowel Diverticula, IMAJ, 2002; 4: 431–433.
4. Kveim, M. H. Jejunal diverticulosis with perforation and peritonitis. Case report. Acta Chir. Scand., 1981; 147: 305–306.
5. Fischer, M. H. False diverticula of the intestine. J. Exp. Med., 1901; 5: 333–352.
6. Černý, J. Špeciálna chirurgia 1. Chirurgia tráviacej rúry. 2. vyd. Martin, Osveta, 1996.
7. Rangarajan, M., Palanivelu, C., Senthilkumar, R., Madankumar, M. V. Laparoscopic surgery for perforation of Meckel‘s diverticulum. Singapore Med. J., 2007; 48:102–105.
8. Segal, S. D., Albrecht, D. S., Belland, K. M., Elster, E. A. Rare mesenteric location of Meckel‘s diverticulum, a forgotten entity: a case study aboard. USS Kitty Hawk. Am. Surg., 2004; 70: 985–988.
9. Holcomb, G. W. 3rd., Gheissari, A., O‘Neill, J. A. Jr., Shorter, N. A., Bishop, H. C. Surgical management of alimentary tract duplications. Ann. Surg., 1989; 209: 167–174.
10. Mehmet, R., Mehmet, A., Fuat, A. Y., Nebil, B. A jejunoileal duplication diagnosed by Tc-99m pertechnetate abdominal scintigraphy. J. Postgrad. Med., 2005; 51: 245–246.
11. Kothari, P. R., Shanker, G., Gupta, A., Jiwane, A., Kulkarni, B. Perforation in a jejunal duplication lined by ectopic gastric mucosa. Indian J. Gastroenterol., 2004; 23: 152.
12. Soon Ok, Ch., Woo Hyun, P., Sang Pyo, K. Enteric duplication in children: An analysis of 6 cases. J. Korean Med. Sci., 1993; 8: 482–487.
13. Maršík, L., Ferko, A., Jaroš, E., Jon, B., Hadzi Nikolov, D. Jejunoileal diverticula as a rare cause of acute abdomen. Report of three cases. Folia Gastroenterol. Hepatol., 2006;4:56–60.
14. Longo, W. E., Vernava, A. M. 3rd. Clinical implications of jejunoileal diverticular disease. Dis. Colon Rectum, 1992; 35: 381–388.
15. Akhrass, R., Yaffe, M. B., Fischer, C., Ponsky, J., Shuck, J. M. Small–bowel diverticulosis: perceptions and reality. J. Am. Coll. Surg., 1997; 184: 383–388.
16. Chiu, E. J., Shyr, Y. M., Su, C. H., Wu, C. W., Lui, W. Y. Diverticular disease of the small bowel. , 2000; 47: 181–184.
17. Woods, K., Williams, E., Melvin, W., Sharp, K. Acquired jejunoileal diverticulosis and its complications: a review of the literature. Am. Surg., 2008;74:849–54.
18. Chow, D. C., Babaian, M., Taubin, H. L. Jejunoileal diverticula. Gastroenterologist, 1997; 5: 78–84.
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