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Table of Contents
Vol. 5, No. 2, 2011
Issue release date: May – August
Section title: Published: August 2011

Open Access Gateway

Case Rep Gastroenterol 2011;5:445–451

Jejunal Diverticular Perforation due to Enterolith

Nonose R.a · Valenciano J.S.a · Souza Lima J.S.a · Nascimento E.F.a · Silva C.M.C.b · Martinez C.A.R.a
aDepartment of General Surgery, São Francisco University Hospital, and bSão Francisco University, Bragança Paulista, Brazil
email Corresponding Author

Carlos Augusto Real Martinez

Rua Rui Barbosa, 255/32, Vila Boa Vista

CEP 09190-370, Santo André, SP (Brasil)

Tel. +55 11 4438 9203, E-Mail caomartinez@uol.com.br

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Jejunal diverticulosis is a rare entity with variable clinical and anatomical presentations. Although there is no consensus on the management of asymptomatic jejunal diverticular disease, some complications are potentially life-threatening and require early surgical treatment. Small bowel perforation secondary to jejunal diverticulitis by enteroliths is rare. The aim of this study was to report a case of small intestinal perforation caused by a large jejunal enterolith. An 86-year-old woman was admitted with signs of diffuse peritonitis. After initial fluid recovery the patient underwent emergency laparotomy. The surgery showed that she had small bowel diverticular disease, mainly localized in the proximal jejunum. The peritonitis was due to intestinal perforation caused by an enterolith 12 cm in length, localized inside one of these diverticula. The intestinal segment containing the perforated diverticulum with the enterolith was removed and an end-to-end anastomosis was done to reconstruct the intestinal transit. The patient recovered well and was discharged from hospital on the 5th postoperative day. There were no signs of abdominal pain 1 year after the surgical procedure. Although jejunal diverticular disease with its complications, such as formation of enteroliths, is difficult to suspect in patients with peritonitis, it should be considered as a possible source of abdominal infection in the elderly patient when more common diagnoses have been excluded.

© 2011 S. Karger AG, Basel

Article / Publication Details

First-Page Preview
Abstract of Published: August 2011

Published online: August 18, 2011
Issue release date: May – August

Number of Print Pages: 7
Number of Figures: 2
Number of Tables: 0

ISSN: (Print)
eISSN: 1662-0631 (Online)

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Open Access License / Drug Dosage / Disclaimer

Open Access License: This is an Open Access article licensed under the terms of the Creative Commons Attribution-NonCommercial 3.0 Unported license (CC BY-NC) (www.karger.com/OA-license), applicable to the online version of the article only. Distribution permitted for non-commercial purposes only.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
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