Jejunal ulcer--therapeutical and diagnosis difficulties
Palade, R.; Suliman, E.; Voiculescu, D.; Simion, G.
Chirurgia 106(4): 513-517
2011
ISSN/ISBN: 1221-9118 PMID: 21991878 Document Number: 652924
We present a female patient of 70 years, admitted in emergency department for signs of high bowel obstruction. After preoperative intensive care, surgical intervention was performed. A complete stenosis of the bowel lumen was found about 15 cm from the duodenojejunal angle, due to a process of sclerosis. Segmental enterectomy was performed with lateroterminal enteroenteralanastomosys, with poor outcome due to a lung infection, which occurred amid COPD. The patient died in intensive care unit requiring mechanical ventilation postoperative. Jejunal ulcer diagnosis was established after pathological examination. Particular issues in discussion are: etiological, clinical, diagnostic and therapeutic ones, that this rare condition posed in practical care.