Jejunal Divertikülozis- Tanısal Laparotominin Yeri

Jejunoileal divertiküloz, sıklıkla asemptomatik seyir gösteren ince bağırsağın divertiküler hastalığıdır. Divertiküler hastalık, esas olarak kolonu etkileyen nispeten yaygın bir hastalık olmasına rağmen daha az ölçüde sırasıyla ince bağırsağın farklı kısımlarını; duodenumu, jejunumu ve ileumu da etkileyebilir. Toplumda nadir görülen bu hastalık, gelişebilecek komplikasyonlar nedeniyle tanı ve tedavisinin iyi bilinmesi gerekmektedir. Jejunal perforasyon en sık görülen komplikasyondur. Bunun dışında obstrüksiyon ve divertiküler kanama da görülebilmektedir. Hastalık tanısı koymak, semptomların spesifik olmaması ve görüntüleme gereksinimi veya acil laparotomi sırasında anlaşılması nedeniyle oldukça zordur. Biz de bu olgu ile tanınması oldukça zor ve tedavi seçenekleri iyi bilinmeyen bu hastalık konusunda tedavi yaklaşımını göstermeye çalıştık.

Anahtar Kelimeler:

Jejunoileal divertiküloz, ince bağırsak, divertikül

Jejunal Diverticulosis- The Place of Diagnostic Laparotomy

Jejunoileal diverticulosis is a diverticular disease of the small intestine with a frequently asymptomatic course. Although diverticular disease is a relatively common disease affecting mainly the colon, to a lesser extent it can also affect different parts of the small intestine; duodenum, jejunum, and ileum respectively. This disease is rare in the community and its diagnosis and treatment should be well known due to the complications that may develop. Jejunal perforation is the most common complication. Obstruction and diverticular bleeding may also occur. Diagnosis of the disease is very difficult due to non-specific symptoms and the need for imaging or recognition during emergency laparotomy. In this case report, we tried to demonstrate the treatment approach for this difficult to diagnose and poorly understood disease.

Keywords:

Jejunoileal diverticulosis, small intestine, diverticulum,

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