Perforated diverticula of the jejunum and lleum.

Abstract:

:Over a ten year period, four patients with inflammation or perforation of non-Meckelian, small intestinal diverticula were treated on the surgical services of Bellevue Hospital. This entity remains uncommon but may be increasing in incidence. The patients presented with a short history of severe abdominal pain, usually accompanied by nausea and vomiting. Each patient also gave a longer preceding history of less well defined abdominal symptoms. The pathogenesis of the small intestinal diverticula is uncertain but may be related to disturbed muscular peristalsis in the small bowel analogous to the changes implicated in esophageal and colonic diverticular disease. The diverticulum may be difficult to demonstrate at operation, and careful exploration for this possibility should be carried out at the time of operation for peritonitis of obscure origin. Segmental resection and end-to-end anastomosis is the treatment of choice.

journal_name

Am J Surg

authors

Roses DF,Gouge TH,Scher KS,Ranson JH

doi

10.1016/0002-9610(76)90364-0

subject

Has Abstract

pub_date

1976-11-01 00:00:00

pages

649-52

issue

5

eissn

0002-9610

issn

1879-1883

pii

0002-9610(76)90364-0

journal_volume

132

pub_type

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