Perforated jejunal diverticulitis a rare cause of acute abdomen type of article: case report

Abstract

Jejunal diverticulosis are false diverticula which is characterized by herniation of mucosa and submucosa through muscular layer of bowel; their perforation is rare but potentially a life-threatening condition that can present as peritonitis. In this case report, a 75-year lady presented to the emergency department with complaints of generalized pain in the abdomen with multiple episodes of vomiting and signs of peritonitis. Radiological evaluation, X-ray of abdomen suggestive of pneumoperitoneum, raising suspicion of a bowel perforation. The patient was immediately resuscitated and promptly managed by surgical intervention. Intraoperatively, multiple jejunal diverticular perforations identified and managed by resection and anastomosis of affected jejunal segment. This case report outscores presentation, early diagnosis and surgical intervention in such rare and challenging cases for better outcomes. The purpose of this case report is to highlight the clinical presentation, diagnostic work up, surgical intervention and postoperative outcomes in jejunal diverticular perforation as a differential diagnosis in elderly patient with acute abdominal pain and to discuss the current management strategies based on the latest research findings.