Jejuno-ileal diverticulitis with localized perforation: CT and US findings

Eur J Radiol. 2009 Aug;71(2):318-23. doi: 10.1016/j.ejrad.2008.04.023. Epub 2008 Jun 13.

Abstract

Purpose: To describe the computed tomography and ultrasound findings of five cases of small bowel diverticulitis with localized perforation.

Material and methods: Our database, from April 2003 to August 2007, was reviewed and five cases of small bowel diverticulitis were identified.

Results: Jejuno-ileal diverticulitis with covered perforation usually presents as wall thickening of a small bowel loop and an adjacent inflammatory mass containing air bubbles.

Conclusion: Small bowel diverticula are rare and mostly asymptomatic. They become clinically relevant when complications arise, such as diverticulitis. The symptoms of jejuno-ileal diverticulitis are non-specific and the diagnosis is performed mainly by imaging studies.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aged, 80 and over
  • Diverticulitis / complications
  • Diverticulitis / diagnosis*
  • Female
  • Humans
  • Ileal Diseases / complications
  • Ileal Diseases / diagnosis*
  • Inflammatory Bowel Diseases / complications
  • Inflammatory Bowel Diseases / diagnosis*
  • Intestinal Perforation / diagnosis*
  • Intestinal Perforation / etiology
  • Jejunal Diseases / complications
  • Jejunal Diseases / diagnosis*
  • Male
  • Middle Aged
  • Tomography, X-Ray Computed / methods*
  • Ultrasonography / methods*