Rare Cause of Left Upper Abdominal Pain
Open Access
- 17 June 2021
- journal article
- case report
- Published by Charles University in Prague, Karolinum Press in Prague Medical Report
- Vol. 122 (2), 106-111
- https://doi.org/10.14712/23362936.2021.11
Abstract
Inflamed diverticular disease of the small bowel is an uncommon cause of acute abdominal pain. Despite its low prevalence rate (0.3–2%), it is associated with a high mortality rate between 20–25% (Fisher and Fortin, 1977; Ferreira-Aparicio et al., 2012). This is due to complications including perforation, bleeding, and obstruction. This case report presents the diagnosis and management of Mr. X, a 70-year-old male with jejunal diverticulitis and a duodenal diverticulum. Mr. X has a background of type 2 diabetes mellitus and sigmoid diverticulosis, he presented with a three-day history of left upper quadrant pain radiating to the left iliac fossa. He was haemodynamically stable despite his elevated inflammatory markers (C-reactive protein 161 mg/l and neutrophils 13.3×109/l) and computerised tomography (CT) of the abdomen and pelvis showing jejunal diverticulitis and a duodenal diverticulum. Mr. X was successfully treated with intravenous antibiotics and analgesia and a follow up CT scan showed that the jejunal diverticulitis had resolved. Previous operative management of the discussed pathology has been reported, the current report is novel as the diagnosis was made early and the case managed conservatively.Keywords
This publication has 15 references indexed in Scilit:
- Diverticular Disease of the Small BowelCase Reports in Gastroenterology, 2012
- Small bowel emergency surgery: literature's reviewWorld Journal of Emergency Surgery, 2011
- Small intestine diverticula: Is there anything new?World Journal of Gastrointestinal Surgery, 2011
- Die Divertikelkrankheit des Dünndarms im Zeitalter der DünndarmendoskopieZeitschrift für Gastroenterologie, 2009
- Small-bowel diverticulosisThe American Journal of Surgery, 2005
- Etiology and Pathophysiology of Diverticular DiseaseClinics in Colon and Rectal Surgery, 2004
- Multiple Jejunal Diverticulitis with Perforation in a Patient with Systemic Lupus Erythematosus: Report of a CaseSurgery Today, 2004
- Multiple Giant Gastrointestinal Diverticula Complicated by Perforated Jejunoileal Diverticulitis in Marfan SyndromeDigestive Surgery, 1992
- Malabsorption in Marfan (Ehlers???Danlos) SyndromeJournal of Clinical Gastroenterology, 1985
- Case of cronkhite--Canada syndrome with associated jejunal diverticulosis.BMJ, 1967