Author/Authors :
Akbari، Mohammad Esmail نويسنده Shahid Beheshti University of Medical Sciences, Cancer Research Center, Tehran, Iran , , Atqiaee، Khashayar نويسنده Shohadaye Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran , , Lotfollahzadeh، Saran نويسنده Cancer Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran , , Jadbbaeey Moghadam، Amir Naser نويسنده , , Sobhiyeh، Mohammad Reza نويسنده ,
Abstract :
Jejunal diverticula have a prevalence of approximately 1% in the general population. Perforation of jejunal diverticulum
is a rare. Clinically this diagnosis may be easily confused with other causes of an acute abdomen. In the article, we
discuss a 74-year–old man with a 2-day history of constipation and left–sided abdominal pain. The day before admission
he developed an abrupt exacerbation his symptoms with pain localized to periumbilical and left lower quadrant. An
abdominal computed tomography scan revealed soft tissue stranding within the left upper quadrant, bilateral plural
effusions , larger on the left, an opacity with the right and left pulmonary lobes and polypoid lesion with in stomach.
Physical examination revealed left upper quadrant fullness. An emergency laparotomy was carried out. This revealed
multiple jejunal diverticula, one of which had perforated 40 centimeters distal to the ligament of Treitz.
