Rare aetiology of abdominal pain: contained abscess secondary to perforated jejunal diverticulitis

BMJ Case Rep. 2020 Sep 2;13(9):e235974. doi: 10.1136/bcr-2020-235974.

Abstract

A patient with a history of multiple jejunal diverticulosis (JD) presented with a non-peritonitic abdominal pain and leucocytosis. CT scan showed a thick-walled interloop collection within the left mid-abdomen with dilated bowels and mild diffuse air-fluid levels. Exploratory laparotomy revealed multiple diverticular outpouchings in the mid-jejunum, one of which was perforated, contained within the mesentery. Resection of the contained abscess and primary anastomosis were performed subsequently.

Keywords: gastrointestinal surgery; general surgery; pathology; small intestine; surgery.

Publication types

  • Case Reports

MeSH terms

  • Abdominal Pain / etiology*
  • Abscess / diagnosis*
  • Abscess / etiology
  • Abscess / therapy
  • Administration, Intravenous
  • Aged, 80 and over
  • Anti-Bacterial Agents / administration & dosage
  • Conversion to Open Surgery
  • Diverticulitis / complications
  • Diverticulitis / diagnosis*
  • Diverticulitis / therapy
  • Female
  • Humans
  • Intestinal Perforation / diagnosis*
  • Intestinal Perforation / etiology
  • Intestinal Perforation / therapy
  • Jejunal Diseases / complications
  • Jejunal Diseases / diagnosis*
  • Jejunal Diseases / therapy
  • Jejunum / diagnostic imaging
  • Jejunum / surgery
  • Laparoscopy
  • Peritoneal Diseases / diagnosis*
  • Peritoneal Diseases / etiology
  • Peritoneal Diseases / therapy
  • Tomography, X-Ray Computed

Substances

  • Anti-Bacterial Agents