A Case of Multiple True Diverticulosis of the Small Intestine Causing Perforative Peritonitis

Chihiro Yoshida; Hisashi Matsuoka; Nobuyuki Tanida; Nobumasa Hamaguchi

doi:10.3919/jjsa.77.1088

January 1, 2016Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)Open Access

A Case of Multiple True Diverticulosis of the Small Intestine Causing Perforative Peritonitis

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Key Points

To describe a rare presentation of acute perforative peritonitis resulting from multiple true diverticula distributed throughout the small intestine.
Clinical evaluation, abdominal computed tomography, and emergency laparotomy in an 89-year-old male presenting with acute abdominal pain and pelvic free air.
Surgical management via partial ileal resection and mesenteric abscess clearance, followed by histopathological tissue examination.
Intraoperative exploration identified multiple diverticula along the mesenteric border across the small intestine, with an active perforation 180 cm proximal to the ileocecal valve adhering to the mesorectum.
Histopathological analysis confirmed true diverticular perforation involving all muscular layers of the small intestine.

Implication

Case report reveals perforative peritonitis caused by multiple true small intestinal diverticula in an older adult, highlighting the diagnostic challenge of atypical gastrointestinal perforations.

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Cite This Study

Yoshida et al. (2016) studied this question.

synapsesocial.com/papers/6a9751ce883af1d6c8a66102 https://doi.org/10.3919/jjsa.77.1088

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A Case of Multiple True Diverticulosis of the Small Intestine Causing Perforative Peritonitis

Key Points

Implication

Abstract

Discussion

Cite This Study

A Case of Multiple True Diverticulosis of the Small Intestine Causing Perforative Peritonitis

Key Points

Implication

Abstract

Discussion

Cite This Study

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