ID 111580
Title Alternative
A case of Jujunal diverticulitis with enterolith in elderly patient Which was successfully treated by laparoscopic assisted operation
Author
Tagami, Yoshifumi Anan Kyoei Hospital
Masamune, Katuhiro Anan Kyoei Hospital
Yoshida, Sadahiro Anan Kyoei Hospital
Keywords
Jujunal diverticulitis
enterolith
laparoscopic surgery
Content Type
Journal Article
Description
An 82-year-old man visited his primary care doctor for epigastralgia and lower abdominal fullness. The next day, he was referred to our hospital on suspicion of ileus. Abdominal CT scan revealed dilated intestinal loops and a well-circumscribed mass lesion within the small bowel. We performed an emergency operation based on the diagnosis of secondary enterolith ileus. Laparoscopy demonstrated numerous large diverticula on the dilated jejunum. We removed the inflammatory intestinal mass from the abdominal cavity and partially resected the small intestine. Pathology indicated diverticulitis with enterolith. Jejunal diverticulitis is rare and difficult to diagnose preoperatively. The laparoscopic procedure was useful to detect the location of the inflammatory mass and multiple diverticula. Furthermore, laparoscopy is useful for checking the peritoneal cavity for irregular communication between the gallbladder and the gastrointestinal tract to exclude gallstone ileus in cases of enterolith causing bowel obstruction. Jejunal diverticular disease should be considered in the differential diagnosis of mechanical bowel obstruction, especially in the elderly population.
Journal Title
Shikoku Acta Medica
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
74
Issue
1-2
Start Page
61
End Page
66
Sort Key
61
Published Date
2018-04-25
FullText File
language
jpn
TextVersion
Publisher