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Novel diagnostic procedure
The use of an ex vivo contrast study at the time of surgery to confirm the site of a perforated jejunal diverticulum
  1. Amin Zamani,
  2. Christopher John Peters,
  3. Stephen J Chadwick
  1. Department of General Surgery, Northwick Park Hospital, Northwest London Hospitals NHS Trust, Harrow, UK
  1. Correspondence to Dr Amin Zamani anzamani{at}


A 63-year-old patient was diagnosed with acute jejunal diverticulitis and possible perforation. The patient was taken to the operating room for an exploratory laparotomy where a suspected segment of small bowel was resected. However, the surgical team was unsure whether the resected segment was the definite location of the perforation. A novel technique; using intraoperative contrast enhanced ex vivo x-ray photographs aided the surgical team in finding the exact location of the perforation and thus allowing the operating team to confidently and safely proceed with closure of the abdomen.

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