Système gastro-intestinal et digestif

Abstrait

Jejunal Diverticulitis: A Challenging Diagnosis

Hichem Jerraya, Esma Leila Gouta, Amine Ben Safta, Chadli Dziri

Jejunal diverticulitis is an uncommon condition, characterized by unspecific symptoms which may lead to delayed diagnosis and high risk of mortality. Computed tomography can be very useful for early diagnosis. We reported a case of 42-old-woman who presented with acute abdomen due to jejunal diverticulitis. The diagnosis was strongly suspected preoperatively by computed tomography but other entities such as perforated neoplasms and foreign body perforation couldn’t be formally eliminated. By laparoscopic approach, the diagnosis remained uncertain. In view of diseased jejunal segment, it was decided for bowel resection followed by a side to side anastomosis. Post operative course was uneventful and the pathological analysis was consistent with the diagnosis of jejunal diverticulitis.