The use of an ex vivo contrast study at the time of surgery to confirm the site of a perforated jejunal diverticulum

BMJ Case Rep. 2013 Jan 3:2013:bcr2012006788. doi: 10.1136/bcr-2012-006788.

Abstract

A 63-year-old patient was diagnosed with acute jejunal diverticulitis and possible perforation. The patient was taken to the operating room for an exploratory laparotomy where a suspected segment of small bowel was resected. However, the surgical team was unsure whether the resected segment was the definite location of the perforation. A novel technique; using intraoperative contrast enhanced ex vivo x-ray photographs aided the surgical team in finding the exact location of the perforation and thus allowing the operating team to confidently and safely proceed with closure of the abdomen.

Publication types

  • Case Reports

MeSH terms

  • Contrast Media
  • Diverticulum / complications
  • Diverticulum / diagnostic imaging*
  • Diverticulum / surgery
  • Female
  • Humans
  • Intestinal Perforation / complications
  • Intestinal Perforation / diagnostic imaging*
  • Intestinal Perforation / surgery
  • Intraoperative Care
  • Jejunal Diseases / complications
  • Jejunal Diseases / diagnostic imaging*
  • Jejunal Diseases / surgery
  • Middle Aged
  • Radiography

Substances

  • Contrast Media