Aquired diverticula of the small bowel (not Meckel?s diverticulum) have a prevalence of 1 to 5 % and are relatively common. They are usually asymptomatic. However, in rare cases they can cause unspecific abdominal symptoms and even critical complications that require surgical intervention. Patients with diverticula of the small bowel were selected from all patients treated at an university hospital of maximal care in a retrospective study covering nine years. In 72 patients with diverticula, 47 % were asymptomatic, 47 % had unspecific abdominal symptoms and 6 % presented acute complications. In 83 % diverticula were localised in the duodenum and proximal jejunum. More distal parts of the small intestine were affected with decreasing frequency. A disseminated affection of the entire small bowel was found in 4 % of all patients. Diagnosis was made by endoscopic techniques in most cases (87 %) and to a smaller extent by CT- and MR-imaging and by other methods. The pattern of complications found is similar to earlier studies. Endoscopic techniques have replaced enteroclysis as the most widespread diagnostic technique in diagnosis of small bowel diverticula.
Dtsch Med Wochenschr 2013; 138, Nr. 15 Fall 3090 Mediquiz Fall 3090 49-jährige Patientin nach Kyphoplastie 49-year-old woman after kyphoplasty Was sehen Sie? Abb. 1 Röntgenbild des Thorax in 2 Ebenen. Linkspektorales Portsystem. Z. n. Kyphoplastie im Bereich der Brustwirbelsäule.Die 49-jährige aktuell asymptomatische Patientin mit Mammakarzinom und multiplen Metastasen in der Hals-, Brust-und Lendenwirbelsäule wurde mittels Kyphoplastie behandelt. Das postoperativ routinemäßig durchgeführte Röntgen des Thorax in 2 Ebenen ergab einen auffälligen Befund (Abb. 1).
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