@article{oai:showa.repo.nii.ac.jp:00000677,
 author = {MIKOGAMI, Tetsuya and KUNIMURA, Toshiaki and OMATSU, Mutsuko and HAMATANI, Shigeharu and SHIOKAWA, Akira and HIRABAYASHI, Kodai and KAWAMURA, Yojiro and ISOZAKI, Masayuki and TATENO, Hidetsugu and MOROHOSHI, Toshio},
 issue = {3},
 journal = {The Showa University journal of medical sciences},
 month = {2012-09, 2019-07-26},
 note = {A rare autopsy case of multiple jejunal diverticula showing severe malabsorption is reported. A 56-year-old man was admitted due to vomiting and leg edema. On admission, his height was 160cm, his body weight was 39kg, and laboratory data revealed severe hypoproteinemia (TP: 4.0g/dl, ALB: 2.1g/dl). On the 14th day of admission, agonal breathing and disturbance of consciousness occurred after massive vomiting of gastric juice, and the patient died of respiratory failure. At autopsy, on abdominal sectioning, multiple diverticula situated on the mesenterium side of the enteron extending 70cm in length from the proximal jejunum were identified. However there were no findings suggesting perforation or diverticulitis. Histologically, the diverticula were lined by ordinal jejunum mucosa associated with muscularis mucosa, but the muscularis propria was not involved in the diverticular walls. The diverticula were identified as false diverticula. In both lower lungs, aspiration pneumonia was widely seen. The cause of death was considered to be aspiration pneumonia due to the vomiting caused by multiple jejunal diverticula.
Only 16 case reports of multiple jejunal diverticulosis in Japan could be found in the literature however most of the reported complications were perforation and diverticulitis, and there were no reports of malabsorption. Therefore, the present case is significant concerning the cause of malabsorption in routine explorations.},
 pages = {253--258},
 title = {An Autopsy Case of Multiple Jejunal Diverticula Showing Severe Malabsorption},
 volume = {24},
 year = {}
}