Jejunal perforation

Discussion:

This is an elderly patient with a recent history of terminal ileum inflammation and diverticulitis. She was also in the process of having investigations and workup for the incidental findings of splenic, hepatic, and renal lesions. She had this scan to investigate any interval changes due to ongoing mild abdominal pain and altered bowel habits.

She was admitted to the general surgery team for a few days for conservative management because of her age and other co-morbidities. She was treated with intravenous antibiotics and had daily blood investigations to monitor her inflammatory markers.     

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