JEJUNAL DIVERTICULITIS: AN UNUSUAL PRESENTATION OF ACUTE ABDOMEN
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.34635/rpc.789 |
Resumo: | Jejunal diverticula are rare and often incidentally discovered. The most common complication is jejunal diverticulitis, which is frequently overlooked and not routinely considered as a differential diagnosis of acute abdomen because of the location of the diverticula, the patient’s age and the rarity of the disease. Computed tomography (CT) is the imaging modality of choice for diagnosis and evaluation of its extent and complications. We present a 64-year-old woman with a history of progressive abdominal pain, constipation and fever, where jejunal diverticulitis was diagnosed based on CT findings. The CT scan displayed a large, thickened wall, inflammatory mass containing gas and feces-like material adjacent to a jejunal loop, with surrounding inflammatory reactive changes, as well as a few smaller noninflamed diverticula at different levels of the small bowel. The patient was hence diagnosed with uncomplicated jejunal diverticulitis and managed conservatively with complete recovery. The purpose of this article is to illustrate a case of jejunal diverticulitis, as well as to review the current literature regarding the epidemiology, pathogenesis, clinical features, radiologic findings and management of this condition. |
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JEJUNAL DIVERTICULITIS: AN UNUSUAL PRESENTATION OF ACUTE ABDOMENDIVERTICULITE JEJUNAL: UMA APRESENTAÇÃO RARA DE ABDÓMEN AGUDOJejunal diverticula are rare and often incidentally discovered. The most common complication is jejunal diverticulitis, which is frequently overlooked and not routinely considered as a differential diagnosis of acute abdomen because of the location of the diverticula, the patient’s age and the rarity of the disease. Computed tomography (CT) is the imaging modality of choice for diagnosis and evaluation of its extent and complications. We present a 64-year-old woman with a history of progressive abdominal pain, constipation and fever, where jejunal diverticulitis was diagnosed based on CT findings. The CT scan displayed a large, thickened wall, inflammatory mass containing gas and feces-like material adjacent to a jejunal loop, with surrounding inflammatory reactive changes, as well as a few smaller noninflamed diverticula at different levels of the small bowel. The patient was hence diagnosed with uncomplicated jejunal diverticulitis and managed conservatively with complete recovery. The purpose of this article is to illustrate a case of jejunal diverticulitis, as well as to review the current literature regarding the epidemiology, pathogenesis, clinical features, radiologic findings and management of this condition.Os divertículos do jejuno são raros e frequentemente descobertos incidentalmente. A complicação mais comum é a diverticulite jejunal, que é frequentemente negligenciada, não sendo por rotina considerada como um diagnóstico diferencial de abdómen agudo devido à localização dos divertículos, à idade do doente e à raridade da doença. A tomografia computorizada (TC) é a modalidade de imagem de escolha para o diagnóstico e para avaliação da extensão da doença e suas complicações. Apresentamos um caso de uma mulher de 64 anos com história de dor abdominal progressiva, obstipação e febre, em que a diverticulite jejunal foi diagnosticada com base nos achados da TC. A TC mostrou uma grande massa inflamatória, de parede espessada, contendo gás e aparente conteúdo fecal, adjacente a uma ansa jejunal, com alterações inflamatórias reativas circundantes, bem como alguns pequenos divertículos não inflamados em diferentes níveis do intestino delgado. A doente foi diagnosticada com diverticulite jejunal não complicada e tratada de forma conservadora, com recuperação completa. O objetivo deste artigo é ilustrar um caso de diverticulite jejunal, bem como rever a literatura mais recente no que diz respeito à epidemiologia, patogénese, características clínicas, achados radiológicos e tratamento desta doença.Sociedade Portuguesa de Cirurgia2022-12-15info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.34635/rpc.789https://doi.org/10.34635/rpc.789Revista Portuguesa de Cirurgia; No 53 (2022): December 2022; 99-103Revista Portuguesa de Cirurgia; No 53 (2022): December 2022; 99-1032183-11651646-6918reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttps://revista.spcir.com/index.php/spcir/article/view/789https://revista.spcir.com/index.php/spcir/article/view/789/653Copyright (c) 2022 Revista Portuguesa de Cirurgiainfo:eu-repo/semantics/openAccessAlves, Ana SofiaLourenço, Ana LuísaCosta, MartaMartins, Regina2024-02-08T18:10:28Zoai:revista.spcir.com:article/789Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T02:36:52.336935Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
JEJUNAL DIVERTICULITIS: AN UNUSUAL PRESENTATION OF ACUTE ABDOMEN DIVERTICULITE JEJUNAL: UMA APRESENTAÇÃO RARA DE ABDÓMEN AGUDO |
title |
JEJUNAL DIVERTICULITIS: AN UNUSUAL PRESENTATION OF ACUTE ABDOMEN |
spellingShingle |
JEJUNAL DIVERTICULITIS: AN UNUSUAL PRESENTATION OF ACUTE ABDOMEN Alves, Ana Sofia |
title_short |
JEJUNAL DIVERTICULITIS: AN UNUSUAL PRESENTATION OF ACUTE ABDOMEN |
title_full |
JEJUNAL DIVERTICULITIS: AN UNUSUAL PRESENTATION OF ACUTE ABDOMEN |
title_fullStr |
JEJUNAL DIVERTICULITIS: AN UNUSUAL PRESENTATION OF ACUTE ABDOMEN |
title_full_unstemmed |
JEJUNAL DIVERTICULITIS: AN UNUSUAL PRESENTATION OF ACUTE ABDOMEN |
title_sort |
JEJUNAL DIVERTICULITIS: AN UNUSUAL PRESENTATION OF ACUTE ABDOMEN |
author |
Alves, Ana Sofia |
author_facet |
Alves, Ana Sofia Lourenço, Ana Luísa Costa, Marta Martins, Regina |
author_role |
author |
author2 |
Lourenço, Ana Luísa Costa, Marta Martins, Regina |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Alves, Ana Sofia Lourenço, Ana Luísa Costa, Marta Martins, Regina |
description |
Jejunal diverticula are rare and often incidentally discovered. The most common complication is jejunal diverticulitis, which is frequently overlooked and not routinely considered as a differential diagnosis of acute abdomen because of the location of the diverticula, the patient’s age and the rarity of the disease. Computed tomography (CT) is the imaging modality of choice for diagnosis and evaluation of its extent and complications. We present a 64-year-old woman with a history of progressive abdominal pain, constipation and fever, where jejunal diverticulitis was diagnosed based on CT findings. The CT scan displayed a large, thickened wall, inflammatory mass containing gas and feces-like material adjacent to a jejunal loop, with surrounding inflammatory reactive changes, as well as a few smaller noninflamed diverticula at different levels of the small bowel. The patient was hence diagnosed with uncomplicated jejunal diverticulitis and managed conservatively with complete recovery. The purpose of this article is to illustrate a case of jejunal diverticulitis, as well as to review the current literature regarding the epidemiology, pathogenesis, clinical features, radiologic findings and management of this condition. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-12-15 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.34635/rpc.789 https://doi.org/10.34635/rpc.789 |
url |
https://doi.org/10.34635/rpc.789 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://revista.spcir.com/index.php/spcir/article/view/789 https://revista.spcir.com/index.php/spcir/article/view/789/653 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2022 Revista Portuguesa de Cirurgia info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2022 Revista Portuguesa de Cirurgia |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Cirurgia |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Cirurgia |
dc.source.none.fl_str_mv |
Revista Portuguesa de Cirurgia; No 53 (2022): December 2022; 99-103 Revista Portuguesa de Cirurgia; No 53 (2022): December 2022; 99-103 2183-1165 1646-6918 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799137419912544256 |