TAILIEUCHUNG - Báo cáo y học: " Non-surgical management of recurrent perforation of a jejunal diverticulum following previous segmental bowel resection: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Non-surgical management of recurrent perforation of a jejunal diverticulum following previous segmental bowel resection: a case report | JOURNAL OF MEDICAL Sr CASE REPORTS Open Access Case report Non-surgical management of recurrent perforation of a jejunal diverticulum following previous segmental bowel resection a case report Hugh Shunsuke Colvin1 Chin Kuenfoo1 Taufiek Konrad Rajab2 3 and Thomas Sayadatas1 Addresses 1Addenbrookes Hospital Cambridge University Hospitals NHS Foundation Trust Hills Rd Cambridge CB2 0QQ UK 2Imperial College London Exhibition Road London SW7 2DD UK 3Universitaetsfrauenklinik University of Tuebingen Calwerstr 7 Tuebingen Germany Email HSC - hcolvin@ CK - chinkuenfoo@ TKR - TS - tomsaty@ Corresponding author Received 2 September 2008 Accepted 23 January 2009 Published 14 July 2009 Journal of Medical Case Reports 2009 3 7318 doi 1752-1947-3-7318 This article is available from http jmedicalcasereports article view 7318 2009 Colvin et al licensee Cases Network Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Perforations of jejunal diverticula are uncommon and repeated symptomatic perforations have been reported only twice before in the literature. This is the first case report of recurrent perforation of a jejunal diverticulum to be successfully managed non-operatively. Case presentation We report a recurrent perforation of a jejunal diverticulum in an 87-year-old Caucasian man who presented with a 1-week history of epigastric pain. The diagnosis of a perforated jejunal diverticulum was made from the appearances of the abdominal computed tomography scan together with the presence of jejunal diverticula noted at the time of a previous laparotomy for the first perforation of a jejunal diverticulum. Conclusion Whilst this case report by itself does not .

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