
Rare aetiology of abdominal pain: contained abscess secondary to perforated jejunal diverticulitis
Author(s) -
Enoch Yeung,
Vishal Kumar,
Zachary E. Dewar,
Robert Behm
Publication year - 2020
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2020-235974
Subject(s) - medicine , exploratory laparotomy , diverticulitis , abdomen , mesentery , diverticulosis , laparotomy , anastomosis , abdominal pain , abscess , jejunum , surgery , segmental resection , acute abdomen , radiology , resection
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.