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Reminder of important clinical lesson
CASE REPORT
Jejunal diverticulitis in a healthy 91-year-old man
  1. Deepthi Chaitanya Kagolanu1,
  2. Miral Subhani1,
  3. Daniel Novick2,
  4. Kaleem Rizvon3
  1. 1Department of Internal Medicine, Nassau University Medical Center, East Meadow, New York, USA
  2. 2Department of Radiology, Nassau University Medical Center, East Meadow, New York, USA
  3. 3Department of Gastroenterology, Nassau University Medical Center, East Meadow, New York, USA
  1. Correspondence to Dr Deepthi Chaitanya Kagolanu, deepthi.lank{at}gmail.com

Summary

A 91-year-old African American man was admitted with sudden onset diffuse abdominal pain which radiated to the right flank. CT of the abdomen with contrast showed diverticula in the jejunum with adjacent inflammation and microperforation that was contained. Conservative therapy similar to colonic diverticulitis was effective. Although rare, our case highlights the importance of having an early and high suspicion for jejunal diverticulitis when patients present with non-specific abdominal symptoms in order to avoid perforation.

  • small intestine
  • medical management
  • gastroenterology

https://doi.org/10.1136/bcr-2018-225116

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    Footnotes

    • Contributors DCK and MS have contributed in the authorship of the article. DN authored the radiographic imaging portion. KR has provided patient management and edited the article.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.