Diverticulitis yeyunal

Abstract

The objective of the present case analysis was to deduce the opportune diagnosis and the correct treatment for jejunal diverticulitis. Jejunal diverticula are rare, their prevalence is 0.1-2.3% and they account for about 1% of diverticular disease. They occur more frequently in males in the sixth decades of life. Diverticular jejunoileal disease is a very rare cause of acute abdomen. It is considered that they originate as a consequence of increases in intraluminal pressure and are located in the weak areas of the intestinal wall, in the mesenteric border at the entrance of the vessels. Approximately 75-80% of patients with diverticula remain asymptomatic, a small percentage of them present nonspecific symptoms such as abdominal pain predominantly located in the hypogastrium and left hemiabdomen, flatulence or changes in intestinal habit preferably constipation. Exacerbate with meals and improve after defecation. We present the case of a 73-year-old patient who presented a picture of peritonitis secondary to perforation of a iejunal diverticulum at the mesenteric border at 40 centimeters from the Treitzs angle, who was treated surgically with resection and end-to-end anastomosis plus therapy (ciprofloxacin, metronidazole).