Fatih SÜMER, Nuray BAŞSÜLLÜ, Dinçer ÖZGÜR, Vedat KIRIMLIOĞLU, Abuzer DİRİCAN, Bülent ÜNAL

Dev soliter jejunal divertikül perforasyonu

Jejunum divertiküllerinin çoğu mezenterik yerleşimli psödodivertiküllerdir. Jejunal divertikül perforasyonu nadir görülen bir akut karın nedenidir ve tedavide segmenter barsak rezeksiyonu önerilir. Elli bir yaşındaki erkek hasta akut karın sebebiyle ameliyat edildi. Ameliyatta Treitz ligamanının 15 cm distalinde Jejunumun antimezenterik tarafında 6.6x9x3cm boyutlarında perfore gerçek divertikül mevcuttu. Divertikülektomi ve primer onarım yapıldı.

Perforation of giant solitery jejunal diverticulum

Jejunum diverticulum’s are generally pseudo diverticulum’s and located at mesenteric side. Jejunum diverticulum’s perforation is an unusual cause of acute abdomen. Segmental intestinal resection is recommended in surgical treatment. A 51 years old male patient was operated on due to acute abdomen. In the operation a perforation that was associated with solitary jejune diverticulums at location 15 cm far from the Treitz ligament was identified. Diverticulectomy and primary closure was performed.

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