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Journal of Case Reports
A Perforated Jejunal Diverticulum in a Childhood
M.Cofini1, F.Quadrozzi2, G. Cofini3
From 1Clinica Pediatrica Universita Perugia, Italy; 2Clinica Chirurgica Universita L’Aquila, Italy; 3UOC Chirurgia Generale PO Avezzano, Italy. 
Corresponding Author:
Dr. M. Coffini
Email: tantalina85@hotmail.it
Received: 05-JUN-2014 Accepted: 13-OCT-2014 Published Online: 10-DEC-2014
DOI: http://dx.doi.org/10.17659/01.2014.0122
Abstract
Jejunal diverticula are extremely rare and even less in children and adolescents. Certain diseases such as Marfan’s syndrome, cystic fibrosis and other genetic disorders may however predispose patients to diverticular disease at a younger age. Clinically they may be asymptomatic or may give rise to complications such as chronic abdominal pain, malabsorption, hemorrhage, diverticulitis, obstruction, abscess formation and rarely diverticular perforation. We report a case of peritonitis due to perforation of non-congenital diverticulum of first jejunal loop in a 15 year old girl. The cause of perforation was penetration of diverticular wall by vegetable fiber (dried leaf rosemary). This case report highlights the rarity of acquired jejunal diverticulosis in children as well as the peculiar manner of perforation.
Keywords : Diverticulum, Diverticulitis, Jejunum, Peritonitis, Abdominal Pain, Humans.
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