scholarly journals Acute Abdomen caused by Perforated Jejunal Diverticulitis

2021 ◽  
Vol 20 (3) ◽  
Author(s):  
Praveena Prithvi Raj ◽  
Chin Wee Ang ◽  
Hiong Chin Lim ◽  
Michael Pak-Kai Wong
Keyword(s):  
Computed Tomography ◽  
Small Bowel ◽  
Preoperative Planning ◽  
Primary Anastomosis ◽  
Bowel Perforation ◽  
Small Bowel Perforation ◽  
Surgical Exploration ◽  
Diseased Segment ◽  
Operative Recovery ◽  
Jejunal Diverticulitis

Jejunal diverticulum accounts for only 25% of small bowel diverticula, and approximately 7% of these will present as complicated jejunal diverticulitis or perforation. Here, we described a case of jejunal diverticular perforation presented as acute abdominal peritonitis. The computed tomography of the abdomen suggested small bowel perforation and therefore, emergency surgical exploration was performed. Intraoperatively, multiple jejunal diverticulae were found with one forming a localised diverticular abscess. Segmental resection of the diseased segment with primary anastomosis was performed. The patient made an uneventful post-operative recovery. Although complicated jejunal diverticulitis is rare, emergency surgery is often warranted if perforation occurs. Computed tomography is valuable in the diagnosis and preoperative planning especially in an emergency surgical conundrum when there is equivocal clinical peritonitis or perforation.

scholarly journals A Bread Bag Clip causing Small Bowel Perforation diagnosed on Computed Tomography

2016 ◽  
Vol 5 (3) ◽  
pp. 169-171
Author(s):  
Charles Coventry ◽  
Peter Bautz
Keyword(s):  
Computed Tomography ◽  
Small Bowel ◽  
Primary Anastomosis ◽  
Bowel Perforation ◽  
Small Bowel Resection ◽  
Preoperative Imaging ◽  
Small Bowel Perforation ◽  
Midline Laparotomy ◽  
Upper Gastrointestinal ◽  
Rare Situation

ABSTRACT Foreign body ingestion is common, and few result in complications. Plastic bread bag clips are an exception, however, and have been associated with small bowel perforation, upper gastrointestinal bleeding and even fatalities. An 85 year-old woman presented with abdominal pain. She was found to have tenderness on abdominal palpation. She underwent an abdominal CT scan, which demonstrated a plastic bread bag clip as the cause of a contained small bowel perforation. A midline laparotomy and small bowel resection with primary anastomosis was performed. Plastic bread bag clips are a rare cause of small bowel perforation. Elderly patients with dentures are at particular risk of ingesting such clips. This case report describes a rare situation where a clip is identified on preoperative imaging as the cause of a contained small bowel perforation. How to cite this article Coventry C, Bautz P. A Bread Bag Clip causing Small Bowel Perforation diagnosed on Computed Tomography. Panam J Trauma Crit Care Emerg Surg 2016;5(3):169-171.

The role of computed tomography in the diagnosis and management of clinically occult post-traumatic small bowel perforation

Radiography ◽  
2009 ◽  
Vol 15 (3) ◽  
pp. 228-232 ◽  
Author(s):  
I. Ahmed ◽  
N. Ahmed ◽  
D.J. Bell ◽  
D.V. Hughes ◽  
G.H. Evans ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Small Bowel ◽  
Bowel Perforation ◽  
Small Bowel Perforation ◽  
Diagnosis And Management ◽  
Post Traumatic

scholarly journals Small bowel perforation after low-velocity trauma: a case report

2021 ◽  
Vol 2021 (4) ◽  
Author(s):  
S Sinz ◽  
L Benigno ◽  
M A Zadnikar ◽  
M E Biraima-Steinemann
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Case Report ◽  
Small Bowel ◽  
Diagnostic Laparoscopy ◽  
Bowel Perforation ◽  
Small Bowel Perforation ◽  
Computed Tomography Scan ◽  
Low Velocity ◽  
Tomography Scan

Abstract We report the case of a 63-year-old patient with a low-velocity abdominal trauma and bowel perforation. The patient slipped on a wet floor and fell down the stairs. On admission, the patient complained about abdominal pain. A computed tomography scan showed traumatic hematoma of the jejunum in the left upper quadrant and a small amount of intra-abdominal air. Also rib fractures on the left side were diagnosed. We performed a diagnostic laparoscopy and found a bowel perforation, which was manually repaired.

The accuracy of computed tomography in the diagnosis of blunt small-bowel perforation

1994 ◽  
Vol 168 (6) ◽  
pp. 670-675 ◽  
Author(s):  
John Sherck ◽  
Clayton Shatney ◽  
Koji Sensaki ◽  
Val Selivanov
Keyword(s):  
Computed Tomography ◽  
Small Bowel ◽  
Bowel Perforation ◽  
Small Bowel Perforation

scholarly journals Jejunal Diverticulitis Mimicking Small Bowel Perforation: Case Report and Review of the Literature

Chirurgia ◽  
2018 ◽  
Vol 113 (4) ◽  
pp. 576 ◽  
Author(s):  
Athanasios Syllaios ◽  
Antonios Koutras ◽  
Prokopis A. Zotos ◽  
Evangelia Triantafyllou ◽  
Nikolaos Bourganos ◽  
...  
Keyword(s):  
Case Report ◽  
Small Bowel ◽  
Bowel Perforation ◽  
Small Bowel Perforation ◽  
Review Of The Literature ◽  
Jejunal Diverticulitis

scholarly journals Bowel obstruction and perforation secondary to barbed suture after minimally invasive inguinal hernia repair: report of two cases and literature review

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Liming Wang ◽  
Taku Maejima ◽  
Susumu Fukahori ◽  
Shoji Nishihara ◽  
Daitaro Yoshikawa ◽  
...  
Keyword(s):  
Small Intestine ◽  
Inguinal Hernia ◽  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Bowel Perforation ◽  
Barbed Suture ◽  
Small Bowel Perforation ◽  
Peritoneal Closure ◽  
Pubmed Database

Abstract Background Laparoscopic transabdominal preperitoneal patch (TAPP) is now commonly used in the repair of inguinal hernia. Barbed suture can be a fast and effective method of peritoneal closure. We report two rare cases of small bowel obstruction and perforation caused by barbed suture after TAPP. Cases Patient 1 is a 45-year-old man who underwent laparoscopic repair of a right inguinal hernia. Barbed suture was used to close the peritoneal defect. At 47 days after the operation, he was diagnosed with a small bowel obstruction caused by an elongated tail of the barbed suture. Emergency laparoscopic exploration was performed for removal of the embedded suture and detorsion of the volvulus. The second patient is a 50-year-old man who was admitted with a small bowel perforation one week after TAPP herniorrhaphy. Emergency exploration revealed that the tail of the barbed suture had pierced the small intestine, causing a tiny perforation. After cutting and releasing the redundant tail of the barbed suture, the serosal and muscular defect was closed with 2 absorbable single-knot sutures. Both patients have recovered well. Finally, we searched the PubMed database and reviewed the literature on the effectiveness and safety of barbed suture for TAPP. Conclusions Surgeons should understand the characteristics of barbed suture and master the technique of peritoneum closure during TAPP in order to reduce the risk of bowel obstruction and perforation.

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