TY - JOUR T1 - Jejunal duplication cyst in an adult: a rare small bowel complication JF - Trauma Surgery & Acute Care Open JO - Trauma Surg Acute Care Open DO - 10.1136/tsaco-2022-000884 VL - 7 IS - 1 SP - e000884 AU - Nikhil R Shah AU - Byron D Hughes AU - Ulises Garza-Serna AU - John P Walker Y1 - 2022/02/01 UR - http://tsaco.bmj.com/content/7/1/e000884.abstract N2 - An ill-appearing woman in her early 50s presented to the emergency department with a 12-hour history of right-sided abdominal pain associated with chills. Her medical and surgical history were significant for hypertension, a laparoscopic total abdominal hysterectomy, and a laparoscopic cholecystectomy. The patient had not had a previous colonoscopy. She initially attributed the pain to chronic constipation; however, her pain subsequently worsened and became diffuse throughout the day. On physical examination, the patient was afebrile, with normal blood pressure parameters, and slight tachycardia with a pulse of 101 beats per minute. Laboratory values were within normal limits. Her abdomen demonstrated diffuse tenderness to palpation with signs of peritonitis. A CT scan was performed and showed a foci of extraluminal air concerning for a small bowel perforation with an adjacent fluid collection (figure 1).Figure 1 Coronal view of CT abdomen/pelvis demonstrating presence of extraluminal air and fluid, adjacent to the small … ER -