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Perforated Jejunal Pseudoiverticulum in a Child A Case Report with Review of Literature

Background: Jejunal diverticula are rare and majority of them are asymptomatic. However rarely, they may present with perforation as an acute abdominal emergency. Hence this condition should be considered in the differential diagnosis and management of small bowel diverticular disease.
Case summary: A 6-year-old child presented with sudden onset of abdominal pain, with vomiting and diarrhea. Clinical Examination showed features of acute abdomen. CT scan showed distended bowel loops with features suggestive of subacute small bowel obstruction. Emergency laparotomy was done, during which jejunal diverticulum with perforation was seen with pus and adhesions. Resection of small segment of bowel with perforated diverticulum and anastomosis was performed. Histopathology showed features of Pseudo diverticulum with perforation. 4 months post-surgery, the child is doing well.
Conclusion: Jejunal diverticula are rare, however perforated diverticula may present as an acute abdominal emergency and could necessitate surgical repair.

Author(s): Kavita Krishnan and Wadah Al-Joudi

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