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Single-trocar transumbilical laparoscopy-assisted management of complicated jejunal diverticula.

Abstract
Small-intestinal nonmeckelian diverticula are very uncommon and are considered to be acquired pulsion diverticula. Most of these diverticula are asymptomatic and are simply incidental findings. Complicated-acquired diverticular disease of the jejunum and ileum is a diagnostic dilemma. Small-bowel diverticulum is diagnosed with the aid of radiography techniques, such as small-bowel contrast series or enteroclysis. Laparotomy remains the gold standard for a definite diagnosis of asymptomatic and complicated diverticula, but laparoscopy is also very useful in the diagnosis and treatment of this condition. A surgical approach is the best form of treatment for complicated jejunoileal diverticula. The current report is about a patient who presented with iron deficiency anemia caused by a complicated jejunal diverticulum and managed with single-trocar transumbilical laparoscopy.
AuthorsMichail Pitiakoudis, Sotirios Botaitis, Konstantinos Romanidis, Dimitrios Charalampidis, Alexandros Polychronides, Constantinos Simopoulos
JournalSurgical laparoscopy, endoscopy & percutaneous techniques (Surg Laparosc Endosc Percutan Tech) Vol. 23 Issue 2 Pg. e78-80 (Apr 2013) ISSN: 1534-4908 [Electronic] United States
PMID23579535 (Publication Type: Case Reports, Journal Article)
Topics
  • Anemia (diagnosis, etiology)
  • Diverticulum (complications, diagnostic imaging, surgery)
  • Endoscopes
  • Follow-Up Studies
  • Gastrointestinal Hemorrhage (diagnostic imaging, etiology, surgery)
  • Humans
  • Jejunal Diseases (complications, diagnostic imaging, surgery)
  • Male
  • Middle Aged
  • Natural Orifice Endoscopic Surgery (methods)
  • Risk Assessment
  • Severity of Illness Index
  • Tomography, X-Ray Computed (methods)
  • Treatment Outcome
  • Umbilicus

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