穿孔性多発性小腸憩室の1例

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  • A CASE REPORT OF PERFORTION OF JEJUNO-ILEAL PSEUDO DIVERTICULOSIS

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It has been reported that diverticulum of the small intestine represents about 2.7% of all diverticula in the digestive tract. Recently we experienced a rare case of multiple deverticular in the entire small intestine from the duodenum to ileum with a perforated diverticulum among of them.<br> A 79-year-old woman was admitted to the hospital because of a high fever and abdominal pain. On the 22nd hospital day, a plain X-ray film of the abdomen revealed free-air. However, the patient refused an emergency laparotomy. Conservative therapy was started, with a temposal remission.<br> On the 101st hospital day a plain X-ray film of the abdomen showed free-air level again. The patient was operated on with a preoperative diagnosis of perforation of diverticulum. A 20cm segment of the terminal ileum including the parforated diverticulum was resected. The patient resulted in complete recovery after the operation.<br> We report the very rare case of perforated jejuno-ileal pseudo diverticulosis, with a review of the leterature.

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