Jejunal perforation

Case contributed by Tariq Walizai
Diagnosis certain

Presentation

Abdominal pain for 3 days.

Patient Data

Age: 15 years
Gender: Female
ct

There is evidence of luminal collapse in the distal jejunum with intussusception of the proximal segment into the distal segment, along with resultant dilatation of proximal small bowel loops, measuring up to 5.6 cm in maximum diameter. A small defect representing perforation of about 4 mm is noted in the anterior aspect of the dilated segment at the level of the L4 vertebral body. Distal small and large bowel loops appear within normal limits.

Pneumoperitoneum and moderated abdominopelvic ascites noted.

Evidence of pneumobilia is noted.

Case Discussion

CT features were considered small bowel internal hernia along with jejunal perforation and evidence of small bowel obstruction.

Surgically confirmed that the patient has jejunal atresia, short segment intussusception, and an abnormal connection between proximal and distal segments which preserved transition.

Co-contributor: Dr. Anawar-ul-haq Zadran.

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