Jejunal duplication cyst in an adult: a rare small bowel complication

Trauma Surgery & Acute Care Open

article

Nikhil R Shah¹  Byron D Hughes¹  Ulises Garza-Serna²  John P Walker¹ 

[1] Department of Surgery, University of Texas Medical Branch;Department of Surgery

关键词: intestine;    small;    abdomen;    laparoscopy;    laparotomy;   

DOI  :  10.1136/tsaco-2022-000884

学科分类：社会科学、人文和艺术（综合）

来源: BMJ Publishing Group

【 摘 要 】

An ill-appearing woman in her early 50s presentedto the emergency department with a 12-hour historyof right-sided abdominal pain associated with chills.Her medical and surgical history were significantfor hypertension, a laparoscopic total abdominalhysterectomy, and a laparoscopic cholecystectomy.The patient had not had a previous colonoscopy.She initially attributed the pain to chronic constipation; however, her pain subsequently worsenedand became diffuse throughout the day. On physicalexamination, the patient was afebrile, with normalblood pressure parameters, and slight tachycardiawith a pulse of 101 beats per minute. Laboratoryvalues were within normal limits. Her abdomendemonstrated diffuse tenderness to palpation withsigns of peritonitis. A CT scan was performed andshowed a foci of extraluminal air concerning fora small bowel perforation with an adjacent fluidcollection (figure 1).

【 授权许可】

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