Jejunal diverticulum enterolith causing perforation and upper abdominal peritonitis.
BMJ Case Rep
; 20152015 Jul 14.
Article
in En
| MEDLINE
| ID: mdl-26174728
ABSTRACT
A patient presented with a 4 h history of acute onset, progressive upper abdominal pain. There was localised peritonitis, with raised inflammatory markers and lactate. CT scan showed a large calcified mass, with evidence of mesenteric twist/volvulus causing some degree of small bowel obstruction. At laparotomy, there were multiple jejunal diverticula, one of which had perforated due to a large enterolith. Resection of the affected jejunum and washout was performed and the patient recovered well. Complications of jejunal diverticula and enteroliths are reported and should be considered in patients with an acute abdomen.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Peritonitis
/
Calculi
/
Diverticulum
/
Abdomen, Acute
/
Intestinal Obstruction
/
Intestinal Perforation
Limits:
Humans
/
Male
/
Middle aged
Language:
En
Journal:
BMJ Case Rep
Year:
2015
Document type:
Article
Affiliation country:
United kingdom