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Non-operatively managed case of contained jejunal diverticular perforation
  1. Raja Jambulingam1 and
  2. Gayan Nanayakkara2
  1. 1 General Surgery, Hywell Dda University Health Board, Haverfordwest, UK
  2. 2 General Surgery, Withybush General Hospital, Haverfordwest, UK
  1. Correspondence to Dr Raja Jambulingam, rajajamb{at}


Jejunal diverticulosis is an underdiagnosed condition due to its relatively benign existence and uncharacteristic presentation. The complications can be very severe and, due to its often late diagnosis, patients may require urgent surgery. We present a woman who initially complained of non-specific abdominal symptoms but was diagnosed with a contained jejunal diverticular perforation relatively early. We managed her non-operatively with intravenous antibiotics from which she recovered well. She was discharged 2 days later and has remained completely well. Follow-up at 3 months showed no recurrence. Our case differs from most of the literature due to the early diagnosis and successful non-operative management of the patient. We conclude that, in cases of non-specific abdominal pain with diagnostic ambiguity, a diagnosis of small bowel diverticulosis should be considered. It should be managed non-operatively where possible.

  • surgery
  • gastrointestinal surgery
  • general surgery
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  • Contributors RJ is the first author and was involved in the inception, planning, data collection, write up, reviewing of manuscript and submission of the case report. GN was involved in planning, obtaining consent, review of manuscript and supervision of the write up. No author or persons, apart from the patient, were involved in any other parts of this case write up.

  • 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.

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

  • Patient consent for publication Obtained.

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