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Z Gastroenterol 2016; 54(06): 562-565
DOI: 10.1055/s-0042-105298
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© Georg Thieme Verlag KG Stuttgart · New York

Complicated jejunal diverticulosis – a rare but important diagnosis to consider in abdominal pain: a report of three cases

Jejunale Divertikulose – eine seltene aber wichtige Differenzialdiagnose bei unklaren abdominellen Schmerzen
B. M. Walter
1   II. Medizinische Klinik und Poliklinik, MRI der TU München, Germany
,
J. Winker
2   II. Medizinische Klinik, Rotkreuzklinikum München, Germany
,
M. Wagner
3   Allgemein- und Viszeralchirurgie, Rotkreuzklinikum München, Germany
,
A. Jung
2   II. Medizinische Klinik, Rotkreuzklinikum München, Germany
,
H. Strebel
4   III. Medizinische Klinik, Klinikum Dresden-Friedrichsstadt, Dresden, Germany
,
P. Born
2   II. Medizinische Klinik, Rotkreuzklinikum München, Germany
› Author Affiliations
Further Information

Publication History

13 January 2016



Publication Date:
10 June 2016 (online)

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Abstract

Jejunal diverticulosis, a form of acquired false diverticula, is considered to be a rare clinical entity, which is mostly asymptomatic. But, in case of complications, jejunal diverticulosis can present as acute abdominal distress. Due to its rarity in clinical manifestation, jejunal diverticulosis may lead to a diagnostic and therapeutic delay. We report on 3 interdisciplinary cases of complicated jejunal diverticulosis by diverticulitis, diverticular bleeding, and perforation. We want to highlight the fact that complicated jejunal diverticulosis should be considered as a differential diagnosis in cases of unclear abdominal pain.

Zusammenfassung

Die Divertikulose des Dünndarms ist eine seltene, in den meisten Fällen auch asymptomatische Erkrankung. Jedoch ist das klinische Bild einer komplikativen jejunalen Divertikulose das eines unklaren Abdomens. Aufgrund der Seltenheit der Erkrankung kann dies zu einer relevanten Verzögerung hinsichtlich adäquater Diagnostik und Therapie führen. Wir berichten über 3 interdisziplinär behandelte Fälle, die exemplarisch die häufigsten Komplikationen (Entzündung, Perforation und gastrointestinale Blutung) der jejunalen Divertikulose beschreiben. Wir möchten damit darauf hinweisen, dass in Fällen eines unklaren abdominalen Beschwerdebilds, die jejunale Divertikulose als Differenzialdiagnose berücksichtigt werden sollte.

Schlüsselwörter

Divertikulose - Divertikulitis - jejunale Divertikulose - GI-Blutung - Jejunumperforation

Key words

jejunum - jejunal diverticulosis - diverticulitis - middle GI bleeding - perforation
 

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