Year: 2017
Type: article
Study design: Case Report
Abstract: Jejunal diverticulosis is a relatively rare condition which tends to remain asymptomatic.In this study, we report our experience with two cases of mesenteric abscess formation caused by penetration of a jejunal diverticulum.The patient in case 1 is a 94-year-old male who presented at our hospital with abdominal pain.Perforation of a diverticulum in the small intestine was suspected, based on the CT, and an emergency operation was performed.A mesenteric abscess had formed in the jejunum 25 cm from the ligament of Treitz, so a small intestine resection was performed.In the surgical specimen, a diverticulum in the small intestine was penetrated, forming the mesenteric abscess.The patient in case 2 was an 84-year-old female who consulted a local doctor for abdominal pain.She was referred to our hospital due to an increase in the number of WBC (11,300/μl) and CRP (17.7 mg/dl).Perforation of the small intestine was suspected, based on the CT, and an emergency operation was performed.A mesenteric abscess had formed in the jejunum 70 cm from the ligament of Treitz, so a small intestine resection was performed.In the surgical specimen, a diverticulum in the small intestine was penetrated, forming a mesenteric abscess.Although it is difficult to diagnose the existence of diverticula in the small intestine before surgery, for the treatment of cases in which a perforation of small intestine is suspected, the possibility of this condition should also be considered.
DOI: 10.4030/jjcs.42.659
Institution: Kyushu Rosai Hospital
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W2889523462