Jejunal duplication cyst in an adult: a rare small bowel complication

An ill-appearing woman in her early 50s presented to the emergency department with a 12-hour history of right-sided abdominal pain associated with chills. Her medical and surgical history were significant for hypertension, a laparoscopic total abdominal hysterectomy, and a laparoscopic cholecystecto...

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Bibliographic Details
Published in:Trauma surgery & acute care open 2022-02, Vol.7 (1), p.e000884
Main Authors: Shah, Nikhil R, Hughes, Byron D, Garza-Serna, Ulises, Walker, John P
Format: Article
Language:English
Subjects:
Abdomen
Challenges in Trauma and Acute Care Surgery
Consent
Cysts
Editing
intestine
Laparoscopy
Laparotomy
Pain
Pathology
small
Small intestine
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Summary:An ill-appearing woman in her early 50s presented to the emergency department with a 12-hour history of right-sided abdominal pain associated with chills. Her medical and surgical history were significant for hypertension, a laparoscopic total abdominal hysterectomy, and a laparoscopic cholecystectomy. The patient had not had a previous colonoscopy. She initially attributed the pain to chronic constipation; however, her pain subsequently worsened and became diffuse throughout the day. On physical examination, the patient was afebrile, with normal blood pressure parameters, and slight tachycardia with a pulse of 101 beats per minute. Laboratory values were within normal limits. Her abdomen demonstrated diffuse tenderness to palpation with signs of peritonitis. A CT scan was performed and showed a foci of extraluminal air concerning for a small bowel perforation with an adjacent fluid collection (figure 1).
ISSN:2397-5776
2397-5776
DOI:10.1136/tsaco-2022-000884