Original Articles
Vol. 16 (2021)
https://doi.org/10.3269/1970-5492.2021.16.37

A RARE CASE OF PERFORATED ILEAL DIVERTICULITIS IN A YOUNG MAN: A CASE REPORT AND LITERATURE REVIEW

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Received: October 15 2025
Published: October 15 2025
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Authors

Daniele Provenzano
Department of General Surgery and Medical-Surgical Specialties, Policlinico - Vittorio Emanuele Hospital, University of Catania, Italy, Italy.
Nunzio Maria Rinzivillo
Department of General Surgery and Medical-Surgical Specialties, Policlinico - Vittorio Emanuele Hospital, University of Catania, Italy, Italy.
Guido Zanghì
Department of General Surgery and Medical-Surgical Specialties, Policlinico - Vittorio Emanuele Hospital, University of Catania, Italy, Italy.
Marta Zanghì
Research Center on Motor Activities (CRAM), University of Catania, Italy, Italy.
Antonio Ciulla
School of Medicine, University of Palermo, Italy, Italy.
Giovanni Tomasello
Institute of Human Anatomy and Histology, Department of Biomedicine, Neurosciences and Advanced Diagnostics, University of Palermo, Palermo, Italy, Italy.
Francesco Carini
Institute of Human Anatomy and Histology, Department of Biomedicine, Neurosciences and Advanced Diagnostics, University of Palermo, Palermo, Italy, Italy.
Dario Saguto
dariosaguto@gmail.com
Institute of Human Anatomy and Histology, Department of Biomedicine, Neurosciences and Advanced Diagnostics, University of Palermo, Palermo, Italy, Italy.
Jejunoileal diverticulosis is a rare, often asymptomatic condition, consisting of acquired false
diverticula. Diagnosis of ileal perforation is usually made incidentally or after complications,
including obstruction, haemorrhage, and diverticulitis. A previously healthy 17-year-old man
presented to the Emergency Department with diffuse abdominal pain and fever. CT scan showed
air-fluid level in the RLQ and free intraperitoneal air and fluid. The patient underwent an urgent
exploratory laparotomy with an intestinal resection and primary anastomosis. We report a rare case
of ileal perforation, due to diverticular disease in a healthy young man, treated with an urgent
surgery. Such an event requires immediate surgical intervention, especially if it presents as an acute
abdomen. Although it can become a surgical emergency, Jejunoileal diverticulosis remains
underdiagnosed.

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A RARE CASE OF PERFORATED ILEAL DIVERTICULITIS IN A YOUNG MAN: A CASE REPORT AND LITERATURE REVIEW. (2025). EuroMediterranean Biomedical Journal, 16. https://doi.org/10.3269/1970-5492.2021.16.37
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