Olgu Sunumu
BibTex RIS Kaynak Göster

Jejunal Diverticulosis- The Place of Diagnostic Laparotomy

Yıl 2023, Cilt: 45 Sayı: 6, 1000 - 1004, 24.10.2023
https://doi.org/10.20515/otd.1294636

Öz

Jejunoileal diverticulosis is a diverticular disease of the small intestine with a frequently asymptomatic course. Although diverticular disease is a relatively common disease affecting mainly the colon, to a lesser extent it can also affect different parts of the small intestine; duodenum, jejunum, and ileum respectively. This disease is rare in the community and its diagnosis and treatment should be well known due to the complications that may develop. Jejunal perforation is the most common complication. Obstruction and diverticular bleeding may also occur. Diagnosis of the disease is very difficult due to non-specific symptoms and the need for imaging or recognition during emergency laparotomy. In this case report, we tried to demonstrate the treatment approach for this difficult to diagnose and poorly understood disease.

Kaynakça

  • 1. Akhrass R, Yaffe MB, Fischer C, Ponsky J, Shuck JM. Small-bowel diverticulosis: perceptions and reality. J Am Coll Surg. 1997;184(4):383-8.
  • 2. Liu CY, Chang WH, Lin SC, Chu CH, Wang TE, Shih SC. Analysis of clinical manifestations of symptomatic acquired jejunoileal diverticular disease. World J Gastroenterol. 2005;11(35):5557-60.
  • 3. Cooke WT, Cox EV, Fone DJ, Meynell MJ, Gaddie R. The clinical and metabolic significance of jejunal diverticula. Gut. 1963;4(2):115-31.
  • 4. Fleres F, Viscosi F, Bertilone E, Mazzeo C, Cucinotta E. Therapeutic strategies for jejunal diverticulitis: our experience and a review of the recent literature. J Vis Surg. 2018;4:152.
  • 5. Leigh N, Sullivan BJ, Anteby R, Talbert S. Perforated jejunal diverticulitis: a rare but important differential in the acute abdomen. Surg Case Rep. 2020;6(1):162.
  • 6. Tenreiro N, Moreira H, Silva S, Marques R, Monteiro A, Gaspar J, et al. Jejunoileal diverticulosis, a rare cause of ileal perforation - Case report. Ann Med Surg (Lond). 2016;6:56-9.
  • 7. Ceuppens AS, Dhont S, Sneyers B, Schepers C, Ramboer K, Van Hootegem P. Jejuno-ileal diverticulosis : a review of literature. Acta Gastroenterol Belg. 2018;81(4):517-9.
  • 8. Raj PP, Ang CW, Lim HC, Wong MP-K. Acute Abdomen caused by Perforated Jejunal Diverticulitis. IIUM Medical Journal Malaysia. 2021;20(3).
  • 9. Bellio G, Kurihara H, Zago M, Tartaglia D, Chiarugi M, Coppola S, et al. Jejunoileal diverticula: a broad spectrum of complications. ANZ J Surg. 2020;90(7-8):1454-8.
  • 10. Transue DL, Hanna TN, Shekhani H, Rohatgi S, Khosa F, Johnson JO. Small bowel diverticulitis: an imaging review of an uncommon entity. Emerg Radiol. 2017;24(2):195-205.
  • 11. Butler JS, Collins CG, McEntee GP. Perforated jejunal diverticula: a case report. J Med Case Rep. 2010;4:172.
  • 12. Ramistella AM, Brenna M, Fasolini F, De Monti M. Jejuno-ileal diverticulitis: A disorder not to underestimate. Int J Surg Case Rep. 2019;58:81-4.
  • 13. Gao JY, Chen JF, Su H, Fang HY, Wu LP, Han YJ, et al. Acute Massive Gastrointestinal Bleeding in the Elderly. J Coll Physicians Surg Pak. 2018;28(6):S78-s80.
  • 14. Viscosi F, Pintabona G, Foti A, Cucinotta E, Mazzeo C. Therapeutic strategies for perforated jejunal diverticulitis. A case report. Ann Ital Chir. 2019;8.
  • 15. De Peuter B, Box I, Vanheste R, Dymarkowski S. Small-bowel diverticulosis:imaging findings and review of three cases. Gastroenterol Res Pract. 2009;2009:549853.

Jejunal Divertikülozis- Tanısal Laparotominin Yeri

Yıl 2023, Cilt: 45 Sayı: 6, 1000 - 1004, 24.10.2023
https://doi.org/10.20515/otd.1294636

Öz

Jejunoileal divertiküloz, sıklıkla asemptomatik seyir gösteren ince bağırsağın divertiküler hastalığıdır. Divertiküler hastalık, esas olarak kolonu etkileyen nispeten yaygın bir hastalık olmasına rağmen daha az ölçüde sırasıyla ince bağırsağın farklı kısımlarını; duodenumu, jejunumu ve ileumu da etkileyebilir. Toplumda nadir görülen bu hastalık, gelişebilecek komplikasyonlar nedeniyle tanı ve tedavisinin iyi bilinmesi gerekmektedir. Jejunal perforasyon en sık görülen komplikasyondur. Bunun dışında obstrüksiyon ve divertiküler kanama da görülebilmektedir. Hastalık tanısı koymak, semptomların spesifik olmaması ve görüntüleme gereksinimi veya acil laparotomi sırasında anlaşılması nedeniyle oldukça zordur. Biz de bu olgu ile tanınması oldukça zor ve tedavi seçenekleri iyi bilinmeyen bu hastalık konusunda tedavi yaklaşımını göstermeye çalıştık.

Kaynakça

  • 1. Akhrass R, Yaffe MB, Fischer C, Ponsky J, Shuck JM. Small-bowel diverticulosis: perceptions and reality. J Am Coll Surg. 1997;184(4):383-8.
  • 2. Liu CY, Chang WH, Lin SC, Chu CH, Wang TE, Shih SC. Analysis of clinical manifestations of symptomatic acquired jejunoileal diverticular disease. World J Gastroenterol. 2005;11(35):5557-60.
  • 3. Cooke WT, Cox EV, Fone DJ, Meynell MJ, Gaddie R. The clinical and metabolic significance of jejunal diverticula. Gut. 1963;4(2):115-31.
  • 4. Fleres F, Viscosi F, Bertilone E, Mazzeo C, Cucinotta E. Therapeutic strategies for jejunal diverticulitis: our experience and a review of the recent literature. J Vis Surg. 2018;4:152.
  • 5. Leigh N, Sullivan BJ, Anteby R, Talbert S. Perforated jejunal diverticulitis: a rare but important differential in the acute abdomen. Surg Case Rep. 2020;6(1):162.
  • 6. Tenreiro N, Moreira H, Silva S, Marques R, Monteiro A, Gaspar J, et al. Jejunoileal diverticulosis, a rare cause of ileal perforation - Case report. Ann Med Surg (Lond). 2016;6:56-9.
  • 7. Ceuppens AS, Dhont S, Sneyers B, Schepers C, Ramboer K, Van Hootegem P. Jejuno-ileal diverticulosis : a review of literature. Acta Gastroenterol Belg. 2018;81(4):517-9.
  • 8. Raj PP, Ang CW, Lim HC, Wong MP-K. Acute Abdomen caused by Perforated Jejunal Diverticulitis. IIUM Medical Journal Malaysia. 2021;20(3).
  • 9. Bellio G, Kurihara H, Zago M, Tartaglia D, Chiarugi M, Coppola S, et al. Jejunoileal diverticula: a broad spectrum of complications. ANZ J Surg. 2020;90(7-8):1454-8.
  • 10. Transue DL, Hanna TN, Shekhani H, Rohatgi S, Khosa F, Johnson JO. Small bowel diverticulitis: an imaging review of an uncommon entity. Emerg Radiol. 2017;24(2):195-205.
  • 11. Butler JS, Collins CG, McEntee GP. Perforated jejunal diverticula: a case report. J Med Case Rep. 2010;4:172.
  • 12. Ramistella AM, Brenna M, Fasolini F, De Monti M. Jejuno-ileal diverticulitis: A disorder not to underestimate. Int J Surg Case Rep. 2019;58:81-4.
  • 13. Gao JY, Chen JF, Su H, Fang HY, Wu LP, Han YJ, et al. Acute Massive Gastrointestinal Bleeding in the Elderly. J Coll Physicians Surg Pak. 2018;28(6):S78-s80.
  • 14. Viscosi F, Pintabona G, Foti A, Cucinotta E, Mazzeo C. Therapeutic strategies for perforated jejunal diverticulitis. A case report. Ann Ital Chir. 2019;8.
  • 15. De Peuter B, Box I, Vanheste R, Dymarkowski S. Small-bowel diverticulosis:imaging findings and review of three cases. Gastroenterol Res Pract. 2009;2009:549853.
Toplam 15 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Genel Cerrahi
Bölüm OLGU SUNUMLARI / CASE REPORTS
Yazarlar

Arda Şakir Yılmaz 0000-0003-1269-0814

Bartu Badak 0000-0003-3465-8719

Yayımlanma Tarihi 24 Ekim 2023
Yayımlandığı Sayı Yıl 2023 Cilt: 45 Sayı: 6

Kaynak Göster

Vancouver Yılmaz AŞ, Badak B. Jejunal Divertikülozis- Tanısal Laparotominin Yeri. Osmangazi Tıp Dergisi. 2023;45(6):1000-4.


13299        13308       13306       13305    13307  1330126978