A 71-year-old woman with a previous episode of enteritis that had been resolved with conservative treatment reported abdominal pain and low-grade fever. On examination, she presented rigid abdomen. Abdominal CT was compatible with intestinal perforation. During surgery, multiple jejunal diverticula were found, one of which was perforated. A follow-up barium swallow study found multiple jejunal diverticula (Fig. 1).
Jejunal diverticula represent 1% of digestive diverticular disease, and the jejunum is the least frequent location. They are usually asymptomatic and can present complications such as bleeding, perforation and intestinal obstruction, which require urgent surgical treatment. However, jejunal diverticulosis is not usually included in the differential diagnosis due to its infrequency.
Diagnosis: acute abdomen secondary to perforated jejunal diverticulum.
Please cite this article as: Rodríguez García P, Balsalobre Salmerón M, García López A, Martínez Manzano Á. Diverticulosis yeyunal: una causa infrecuente de abdomen agudo. Cir Esp. 2019;97:345.
