PMC5772063_01
Small bowel diverticulosis primarily involving the jejunum and ileum.
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F1
This prompted a small bowel follow-through, which showed extensive jejunal and ileal diverticulosis (Figure 1).
Chest x-ray with intraperitoneal free air (arrows).
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F2
An anteroposterior chest x-ray demonstrated free intraperitoneal air (Figure 2).
(A) Surgical resection specimen showing a dilated, necrotic small bowel with multiple diverticuli. (B) Close-up view of the perforation site.
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F3
Urgent exploratory laparotomy showed diffuse diverticulosis of the small bowel with a perforated distal jejunal diverticulum and abscess (Figure 3).
Computed tomography of the abdomen/pelvis with intraperitoneal free air (red circle).
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F4
One year later, despite cycling antibiotics for bacterial overgrowth, he presented with acute abdominal pain, and computed tomography (CT) demonstrated intraperitoneal free air (Figure 4).