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Yeungnam Univ J Med > Volume 22(1); 2005 > Article
Yeungnam University Journal of Medicine 2005;22(1):113-118.
DOI: https://doi.org/10.12701/yujm.2005.22.1.113    Published online June 30, 2005.
A Case of Jejunal Diverticulitis with Perforation Combined with Intussusception Caused by Inflammatory Fibroid Polyp.
Jae Won Choi, Kook Hyun Kim, Ji Eun Lee, Jun Hwan Kim, Byung Ik Jang, Tae Nyeun Kim, Moon Kwan Chung, Jae Whang Kim
1Department of Internal Medicine, College of Medicine, Yeungnam University, Daegu, Korea. tnk@med.yu.ac.kr
2Department of Internal Medicine, Doctor Chung's Clinic, Daegu, Korea.
3Department of General Surgery, College of Medicine, Daegu, Korea.
Abstract
Diverticulosis of the small intestine is a rare entity, compared with that of duodenum or colon, and is found in only 1% of autopsied patients. The main complications are diverticulitis with or without a perforation, obstruction and hemorrhage, which are associated with a high mortality. Intussusception is primarily a disease of childhood; with only 5 to 10% of cases occurring in adults. In contrast to childhood intussusception, 90% of adult intussusception cases are had an associated pathologic processes. An inflammatory fibroid polyp is an uncommonly localized non-neoplastic lesion of the gastrointestinal tract. It occurs most often in the stomach and secondly in the ileum. It rarely occurs in other organs such as the colon, jejunum, duodenum and esophagus. We report a case of jejunal diverticulitis with a perforation combined with intussusception caused by an inflammatory fibroid polyp. A 78-year-old female presented with abdominal pain, fever and chill. Contrast CT scan showed intussusception of the ileum. The patient was treated with a small bowel segmental resection. After surgery, the specimen showed jejunal diverticulitis with perforation.
Key Words: Jejunal diverticulitis, Intussusception, Inflammatory fibroid polyp
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