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  • Title: [Perforated jejunal divertikula - a rare differential diagnosis of acute abdominal pain].
    Author: Kleemann M, Kujath P, Stellmacher F, Gellissen J, Bruch HP, Eckmann Ch.
    Journal: Zentralbl Chir; 2006 Dec; 131(6):521-4. PubMed ID: 17206575.
    Abstract:
    UNLABELLED: DIAGNOSTIC FINDINGS: We report about a 83 years old female with persisting abdominal pain for 3 days. Abdominal x-ray, as well as abdominal ultrasound examination were unsuccessful. CT scan revealed a 7 cm tumor, suspicious for abscess. OPERATION: Diagnostic laparotomy showed a 6 cm inflammatory tumor with covered perforation of a jejunal diverticula at the 4th intestinal loop distal the ligament of Treitz. We performed a segmental resection. FOLLOW UP: Clinical follow-up was uneventful, the patient was without any symptoms within the first 6 months. Pre- and intraoperative pathology will be explained and discussed referring to the literature.
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