Perforation of a solitary Jejunal Diverticulum: a rare cause of acute abdomen

Abstract: A 45-year-old woman presented with generalized abdominal Pain since three days associated with vomiting, fever, constipation. She was febrile and had tachycardia. On examination, her abdomen was tender guarding, rigidity and shifting dullness was present. An abdominal x ray in standing revealed free air under the diaphragm. Ultrasound of the abdomen revealed free fluid in the abdominal cavity suggestive of perforation peritonitis. An emergency laparotomy was carried out which revealed Single jejunal diverticula, which had perforated. Jejunal diverticula have a prevalence of approximately 1% in the general population. Perforation of a jejunal diverticulum is a rare complication. Clinically, this diagnosis may be easily confused with other causes of an acute abdomen. In an elderly person, especially if known to have jejunal diverticulosis, one must have a high index of suspicion for perforation.