The use of an ex vivo contrast study at the time of surgery to confirm the site of a perforated jejunal diverticulum. (3rd January 2013)

• Record Type: Journal Article
• Authors: Zamani, Amin; Peters, Christopher John; Chadwick, Stephen J
• Is Part Of: BMJ case reports. Volume 2013
• Publication Date: 2013-01-03
• Subjects: Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2012-006788
• Languages: English
• ISSNs: 1757-790X

Abstract

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.