International Surgery Journal | November 2023 | Vol 10 | Issue 11 Page 1 International Surgery Journal Verma S et al. Int Surg J. 2023 Nov;10(11):xxx-xxx http://www.ijsurgery.com pISSN 2349-3305 | eISSN 2349-2902 Case Report Perforated jejunal diverticulitis a rare cause of acute abdomen type of article: case report Sandeep Verma 1 *, Vidit 1 , Arnav Gupta 1 , Bhavinder K. Arora 1 , Rituparna Chatterjee 2 INTRODUCTION Jejunal diverticulosis are rare congenital or acquired anomalies of gastrointestinal tract; are false diverticula which is characterized by herniation of mucosa and submucosa through muscular layer of bowel, with a reported incidence of approximately less than 1% in the general population. 1,2 Although they are asymptomatic, can lead to complications such as diverticulitis, hemorrhage, or perforation which necessitates medical attention and prompt surgery intervention. Acquired jejunal diverticular perforation is a rare presentation that possesses diagnostic challenges due to its nonspecific presentation. 3,4 We present this case of a 75-year lady presented to the emergency department with complaints of generalized pain in the abdomen with multiple episodes of vomiting, guarding and rebound tenderness. This case report outlines the clinical presentation, diagnostic work up, surgical intervention and post operative course of our patient, drawing upon recent articles and literature to provide context for this challenging clinical scenario. CASE REPORT A 75-year elderly lady who came to the emergency department with the complaints of generalized pain in the abdomen for one day, which was sudden in onset and gradually progressive associated with multiple episodes of bilious vomiting and constipation. She had no history of chronic illness or any previous surgery. On examination, she was dehydrated, malnourished, her ABSTRACT Jejunal diverticulosis are false diverticula which is characterized by herniation of mucosa and submucosa through muscular layer of bowel; their perforation is rare but potentially a life-threatening condition that can present as peritonitis. In this case report, a 75-year lady presented to the emergency department with complaints of generalized pain in the abdomen with multiple episodes of vomiting and signs of peritonitis. Radiological evaluation, X-ray of abdomen suggestive of pneumoperitoneum, raising suspicion of a bowel perforation. The patient was immediately resuscitated and promptly managed by surgical intervention. Intraoperatively, multiple jejunal diverticular perforations identified and managed by resection and anastomosis of affected jejunal segment. This case report outscores presentation, early diagnosis and surgical intervention in such rare and challenging cases for better outcomes. The purpose of this case report is to highlight the clinical presentation, diagnostic work up, surgical intervention and postoperative outcomes in jejunal diverticular perforation as a differential diagnosis in elderly patient with acute abdominal pain and to discuss the current management strategies based on the latest research findings. Keywords: Pneumoperitoneum, Jejunal diverticula, Resection and anastomosis, Perforation peritonitis, False diverticula 1 Department of General Surgery, PGIMS, Rohtak, Haryana, India 2 Department of Emergency Medicine, SPS Hospital, Ludhiana, Punjab, India Received: 03 September 2023 Revised: 03 October 2023 Accepted: 06 October 2023 *Correspondence: Dr. Sandeep Verma, E-mail: Drsaneepverma2201@gmail.com Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. DOI: https://dx.doi.org/10.18203/2349-2902.isj2023xxxx