Skip to main content
Top
Published in: European Radiology 10/2010

01-10-2010 | Interpretation Corner

Elderly patient with acute, left lower abdominal pain: perforated jejunal diverticulitis (2010:7b)

Authors: Manuela França, Manuela Certo, Donzília Silva, Carlos Peixoto, Pedro Varzim

Published in: European Radiology | Issue 10/2010

Login to get access

Abstract

An elderly patient with acute, left, lower abdominal pain is described, for whom the diagnosis of perforated jejunal diverticulitis was established by computed tomography (CT). The presence of a jejunal segmental inflammatory process, with or without abscess or perforation, in the setting of jejunal diverticulosis, is very suggestive of jejunal diverticulitis.
Literature
1.
go back to reference Maglinte DD, Chernish SM, DeWeese R, Kelvin FM, Brunelle RL (1986) Acquired jejunoileal diverticular disease: subject review. Radiology 158:577–580PubMed Maglinte DD, Chernish SM, DeWeese R, Kelvin FM, Brunelle RL (1986) Acquired jejunoileal diverticular disease: subject review. Radiology 158:577–580PubMed
2.
go back to reference Fintelmann F, Levine MS, Rubesin SE (2008) Jejunal Diverticulosis: findings on CT in 28 patients. Am J Radiol 190:1286–1290 Fintelmann F, Levine MS, Rubesin SE (2008) Jejunal Diverticulosis: findings on CT in 28 patients. Am J Radiol 190:1286–1290
3.
go back to reference Sibille A, Willocx R (1992) Jejunal diverticulitis. Am J Gastroenterol 87:655–658PubMed Sibille A, Willocx R (1992) Jejunal diverticulitis. Am J Gastroenterol 87:655–658PubMed
4.
go back to reference Macari M, Faust M, Liang H, Pachter HL (2007) CT of jejunal diverticulitis: imaging findings, differential diagnosis, and clinical management. Clin Radiol 62:73–77CrossRefPubMed Macari M, Faust M, Liang H, Pachter HL (2007) CT of jejunal diverticulitis: imaging findings, differential diagnosis, and clinical management. Clin Radiol 62:73–77CrossRefPubMed
5.
go back to reference Macari M, Balthazar EJ (2001) CT of bowel wall thickening: significance and pitfalls of interpreation. AJR Am J Roentgenol 176:1105–1116PubMed Macari M, Balthazar EJ (2001) CT of bowel wall thickening: significance and pitfalls of interpreation. AJR Am J Roentgenol 176:1105–1116PubMed
6.
go back to reference Macari M, Megibow AJ, Balthazar EJ (2007) A pattern approach to the abnormal small bowel: observations at MDCT and CT enterography. AJR Am J Roentgenol 188:1344–1355CrossRefPubMed Macari M, Megibow AJ, Balthazar EJ (2007) A pattern approach to the abnormal small bowel: observations at MDCT and CT enterography. AJR Am J Roentgenol 188:1344–1355CrossRefPubMed
7.
go back to reference Bartnicke BJ, Balfe DM (1994) CT appearance of intestinal ischemia and intramural hemorrhage. Radiol Clin North Am 5:845–860 Bartnicke BJ, Balfe DM (1994) CT appearance of intestinal ischemia and intramural hemorrhage. Radiol Clin North Am 5:845–860
8.
go back to reference Gore RM, Balthazar EJ, Ghahremani GG, Miller FH (1996) CT features of ulcerative colitis and Crohn’s disease. AJR Am J Roentgenol 167:3–15PubMed Gore RM, Balthazar EJ, Ghahremani GG, Miller FH (1996) CT features of ulcerative colitis and Crohn’s disease. AJR Am J Roentgenol 167:3–15PubMed
9.
go back to reference Buckley JA, Fishman EK (1998) CT evaluation of small bowel neoplasms: spectrum of disease. Radiographics 18:379–392PubMed Buckley JA, Fishman EK (1998) CT evaluation of small bowel neoplasms: spectrum of disease. Radiographics 18:379–392PubMed
10.
go back to reference Maglinte DD, Lappas JC, Sandrasegaran K (2008) Malignant tumors of the small bowel. In: Gore RM, Levine MS (eds) Textbook of gastrointestinal radiology. Saunders, Philadelphia, pp 853–869 Maglinte DD, Lappas JC, Sandrasegaran K (2008) Malignant tumors of the small bowel. In: Gore RM, Levine MS (eds) Textbook of gastrointestinal radiology. Saunders, Philadelphia, pp 853–869
11.
go back to reference Maldjian PD (1999) Perforation of the small bowel from fish bone ingestion: CT findings. Emerg Radiol 6:361–363CrossRef Maldjian PD (1999) Perforation of the small bowel from fish bone ingestion: CT findings. Emerg Radiol 6:361–363CrossRef
12.
go back to reference Lee RE, Finby N (1958) Jejunal and ileal diverticulosis. AMA Arch Intern Med 102:97–102PubMed Lee RE, Finby N (1958) Jejunal and ileal diverticulosis. AMA Arch Intern Med 102:97–102PubMed
Metadata
Title
Elderly patient with acute, left lower abdominal pain: perforated jejunal diverticulitis (2010:7b)
Authors
Manuela França
Manuela Certo
Donzília Silva
Carlos Peixoto
Pedro Varzim
Publication date
01-10-2010
Publisher
Springer-Verlag
Published in
European Radiology / Issue 10/2010
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-010-1726-6

Other articles of this Issue 10/2010

European Radiology 10/2010 Go to the issue