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Case Reports
. 2021 Apr 30;92(S1):e2021154.
doi: 10.23750/abm.v92iS1.9679.

Jejunal diverticulitis: Things to know to prevent diagnostic mistake

Mario Giuffrida  1 , Gennaro Perrone  2 , Salomone Di Saverio  3 , Alfredo Annicchiarico  4 , Vittoria Pattonieri  5 , Elena Bonati  6 , Antonio Tarasconi  7 , Fausto Catena  8
Affiliations
Case Reports

Jejunal diverticulitis: Things to know to prevent diagnostic mistake

Mario Giuffrida et al. Acta Biomed. .

Abstract

We report a peculiar case of jejunal diverticulitis in 54-year-old female. Since hospital admission, a colonic diverticulitis was suspected. CT scan of the abdomen showed multiple fluid collections with free intraperitoneal extraluminal air, suggesting bowel perforation. A complicated acute diverticulitis of the colon was suspected but intraoperatively, a perforated acute diverticulitis of jejunum was detected. The aim of this work is to evidence the key role of CT scan of the abdomen in differential diagnosis of unfrequently pathological entities, such as jejunal diverticulitis, to prevent diagnostic mistakes.

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Figures

Figure 1.
Figure 1.
CT-scan of the abdomen revealed abdominal fluid collection with air bubbles (67 x 102 mm) in the left quadrants of the abdomen, close to splenic flexure and descending colon.
Figure 2.
Figure 2.
CT-scan of the abdomen coronal reconstitution revealed the abdominal fluid collection with air bubbles (67 x 102 mm) in the left quadrants of the abdomen.
Figure 3.
Figure 3.
Perforated jejunal diverticulum extending approximately 10 cm from ligament of Treitz.
Figure 4.
Figure 4.
Jejunal resection including all diverticula.
See this image and copyright information in PMC

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