Perforation of the jejunum diverticulum: the role of CT examination
https://doi.org/10.24835/1607-0763-2019-3-66-76
Abstract
Uncomplicated diverticula of the small intestine are asymptomatic, extremely rare in everyday practice and, most often, are detected already with the development of complications such as perforation and abscess formation. Diagnosis of complicated diverticula of the small intestine is difficult due to many other, more common causes of acute abdomen, insufficient use of the capabilities of the methods of radiation diagnosis, the lack of application and correct interpretation of the results of instrumental and special research methods. The article presents a clinical case of perforation of the jejunum diverticulum. The results of effective MDCT diagnosis and successful surgical intervention are presented: laparoscopic resection of the jejunum with the formation of the primary hardware intracorporeal enteroentero-anastomosis side by side.
Keywords
About the Authors
I. V. PlatitsynRussian Federation
cand. of med. sci., Head of the X-ray
143081 Moscow region, Odintsovo district, v. Lapino, 1st Uspenskoye str., 111, Russian Federation
A. V. Kondratyev
Russian Federation
doct. of med. sci., Head of the surgical department
143081 Moscow region, Odintsovo district, v. Lapino, 1st Uspenskoye str., 111, Russian Federation
A. V. Panin
Russian Federation
cand. of med. sci., deputy chief physician for surgery
143081 Moscow region, Odintsovo district, v. Lapino, 1st Uspenskoye str., 111, Russian Federation
E. M. Shubarkina
Russian Federation
radiologist of the X-ray department
143081 Moscow region, Odintsovo district, v. Lapino, 1st Uspenskoye str., 111, Russian Federation
A. L. Maslov
Russian Federation
radiologist of the X-ray department
143081 Moscow region, Odintsovo district, v. Lapino, 1st Uspenskoye str., 111, Russian Federation
+7-916-713-47-57
References
1. Dubova E.A., Schegolev A.I., Egorov V.I., Karmazanovsky G.G., Pugacheva O.G. Diverticulosis of the small intestine, complicated by interintestinal abscess. Medical Visualization. 2008; 2: 38–43. (In Russian)
2. Dubova E.A., Schegolev A.I., Egorov V.I., Karmazanovsky G.G., Pugacheva O.G. Diverticulosis of the small intestine, complicated by interintestinal abscess. Medical Visualization. 2008; 2: 38–43. (In Russian)
3. Myakonkiy R.V., Kaplunov K.O. The case of diverticular disease of the small intestine, complicated by perforation of the diverticulum with the formation of inter-intestinal abscess and the development of acute intestinal obstruction. Volgograd Medical Journal. 2016; 4: 55–59. (In Russian)
4. Maev I.V., Dicheva D.T., Andreev D.N. Diverticula of the gastrointestinal tract. Training manual for doctors. M.: Prima Print, 2015. 41 p. (In Russian)
5. Maev I.V., Dicheva D.T., Andreev D.N. Diverticula of the gastrointestinal tract. Training manual for doctors. M.: Prima Print, 2015. 41 p. (In Russian)
6. Deshuk A.N., Tsilindz I.T., Avdeeva E.Yu. Acute phlegmonous diverticulitis of the jejunum as the cause of diffuse purulent peritonitis. Journal of Grodno State Medical University. 2018; 16 (2): 215–217. (In Russian)
7. Mansoori B., Delaney C.P., Willis J.E., Paspulati R.M., Ros P.R., Schmid-Tannwald C., Herrmann K.A. Magnetic resonance enterography/enteroclysis in acquired smallbowel diverticulitis and small bowel diverticulosis. Eur. Radiol. 2016; 26 (9): 2881–2891. http://dx.doi.org/10.1007/s00330-015-4098-0.
8. Mansoori B., Delaney C.P., Willis J.E., Paspulati R.M., Ros P.R., Schmid-Tannwald C., Herrmann K.A. Magnetic resonance enterography/enteroclysis in acquired smallbowel diverticulitis and small bowel diverticulosis. Eur. Radiol. 2016; 26 (9): 2881–2891. http://dx.doi.org/10.1007/s00330-015-4098-0.
9. Butler J.S., Collins C.G., McEntee G.P. Perforated jejunal diverticula: a case report. J. Med. Case Reports. 2010; 172 (4): 172. http://dx.doi.org/10.1186/1752-1947-4-172.
10. Guide to emergency surgery of the abdominal organs: A guide for doctors. Eds by V.S. Saveliev. M.: LLC “Publishing "Medical Information Agency"”, 2014. 544 p. (In Russian)
11. Elliott T.B., Yego S., Irvin T.T. Five year audit of the acute complications of diverticular disease. Br. J. Surg. 1997; 84: 535–539.
12. Littmann I. Abdominal surgery. Budapest: Academy of Sciences of Hungary, 1970. 576 p. (In Russian)
13. Akhrass R., Yaffe M.B., Fischer C., Ponsky J., Shuck J.M. Small-bowel diverticulosis: perceptions and reality. J. Am. Coll. Surg. 1997; 184 (4): 383–388.
14. Mantas D., Kykalos S., Patsouras D., Kouraklis G. Small intestine diverticula: Is there anything new? Wld J. Gastrointest. Surg. 2011; 3 (4): 49–53. http://dx.doi.org/10.4240/wjgs.v3.i4.49
15. Kirsanov I.I., Macedonian, T.P., Tarasov, S.A., Yartsev, P.A. The possibilities of video laparoscopy in the diagnosis and treatment of perforation of the small intestine and Meckel's diverticulum (two clinical observations). Russian Sklifosovsky Journal “Emergency Medical Care”. 2016; 1: 63–65. (In Russian)
16. Dubova E.A., Schegolev A.I., Egorov V.I., Karmazanovsky G.G., Pugacheva O.G. Diverticulosis of the small intestine, complicated by interintestinal abscess. Medical Visualization. 2008; 2: 38–43. (In Russian)
17. Maev I.V., Dicheva D.T., Andreev D.N. Diverticula of the gastrointestinal tract. Training manual for doctors. M.: Prima Print, 2015. 41 p. (In Russian)
18. Mansoori B., Delaney C.P., Willis J.E., Paspulati R.M., Ros P.R., Schmid-Tannwald C., Herrmann K.A. Magnetic resonance enterography/enteroclysis in acquired smallbowel diverticulitis and small bowel diverticulosis. Eur. Radiol. 2016; 26 (9): 2881–2891. http://dx.doi.org/10.1007/s00330-015-4098-0.
Review
For citations:
Platitsyn I.V., Kondratyev A.V., Panin A.V., Shubarkina E.M., Maslov A.L. Perforation of the jejunum diverticulum: the role of CT examination. Medical Visualization. 2019;(3):66-76. (In Russ.) https://doi.org/10.24835/1607-0763-2019-3-66-76