Acute diverticulitis of the small bowel: CT findings

Gayer, Gabriela; Zissin, Rivka; Apter, Sara; Shemesh, E; Heldenberg, Eitan

doi:10.1007/s002619900538

Cited by 38 publications

(19 citation statements)

References 9 publications

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“…The presence of an image with inflammatory changes around a cul-desac, and enteroliths occasionally being appreciated, supports the diagnosis (13). Abdominal ultrasound can be used as a screening technique in patients with acute abdominal pain, as provides a tubular and compressible hyperechoic image (14), which explains the local inflammatory process and indicates emergency surgery.…”

Section: A B Cmentioning

confidence: 90%

Surgical pathology associated with Meckel's diverticulum in a tertiary hospital: 12 year review

Méndez-García

Suárez-Grau

Rubio-Chaves

et al. 2011

Rev. esp. enferm. dig.

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Objective: we want to present our experience about surgical pathology of Meckel's diverticulum by means of a retrospective study.Material and methods: we report a group of patients of our Department of General and Abdominal Surgery and Paediatric Surgery of our Hospital with Meckel's diverticulum since January of 1997 to January of 2010. We report the clinical presentation, complementary test, interventions, and the postoperative follow up.Results: 45 patients were operated in total, 33 of them in emergency surgery under the clinical form of acute abdominal pain; and the others 12 in programmed surgery, these cases came up more frequently like a clinical manifestations of latent abdominal pain, rectal bleeding and anaemia. The complementary tests were so varied; abdominal ultrasounds were used in 63% of emergency cases and the 40% of programmed cases, in these patients, gammagraphy with Tc99 was the second test in frequency. Laparoscopy was used in 10 cases (22%). The main surgery technique used was diverticulectomy (82%).Conclusions: the presence of Meckel's diverticulum has to be clinically suspected in all patients with abdominal pain of unknown aetiology. Access to the abdominal cavity using routine laparoscopy provides essential information on the diagnosis and for the treatment.

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Section: A B Cmentioning

confidence: 90%

Surgical pathology associated with Meckel's diverticulum in a tertiary hospital: 12 year review

Méndez-García

Suárez-Grau

Rubio-Chaves

et al. 2011

Rev. esp. enferm. dig.

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“…Enteroliths from calcium salts are radiodense; the others are radiolucent [2,3,8,9]. Enteroliths develop as a result of stasis and hypomotility in diverticula, with subsequent precipitation and concretion of alimentary chym [1].…”

Section: Discussionmentioning

confidence: 99%

Enterolithiasis in jejunal diverticulosis, a rare cause of obstruction of the small intestine: a case report

Kornprat

Langner

2005

Wien Klin Wochenschr

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Jejunal diverticula are rare and usually asymptomatic; they occur twice as frequently in men. They are discovered incidentally during small-bowel enteroclysis, CT scan or laparotomy. Complications include diverticulitis, perforation, hemorrhage and enterolith formation. Intestinal obstruction due to enterolithiasis is uncommon. We present the association of enterolithiasis and jejunal diverticulosis causing obstruction of the small intestine in a 74-year-old female who was admitted for abdominal cramps, nausea and vomiting. On physical examination, there was discomfort on palpation of the upper abdomen. Laboratory tests revealed mild elevation of leucocytes and C-reactive protein. CT scan demonstrated dilatated loops of proximal jejunum with thickening of the wall, suggesting ingestion of a foreign body. Clinical and radiological findings did not indicate conservative therapy; our patient underwent minilaparotomy, and pronounced jejunal diverticulosis was identified. An enterotomy was performed and a cylindrical enterolith, 10cm long and 3cm in diameter, was removed. The operative and postoperative course was uneventful. Enterolithiasis must be considered as a potential source of intestinal obstruction. The differential diagnosis should take gallstone ileus and ingestion of a foreign body into consideration. Initial therapy is nonoperative; if this management fails, surgery is indicated.

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“…6 Acquired diverticula of the jejunum and ileum have a very much rarer reported incidence, that varies from 0.06% to 2.3%. 2,4,7 They are found almost exclusively in patients over the age of 40 and twice as frequently in males. 8 Most are considered as incidental and asymptomatic findings.…”

Section: Discussionmentioning

confidence: 99%

Diverticulitis of the Small Bowel: Case Report and Review of the Literature

Toros¹,

Arisoy²,

Su³

et al. 2016

Turkiye Klinikleri J Case Rep

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Acute diverticulitis of the small bowel: CT findings

Abstract: We present the computed tomographic (CT) findings in two cases of small bowel diverticulitis, one affecting the jejunum and the other a Meckel's diverticulum. The main CT finding was that of a mass with an air-fluid collection in contiguity with small bowel loops.

Cited by 38 publications

References 9 publications

Surgical pathology associated with Meckel's diverticulum in a tertiary hospital: 12 year review

Surgical pathology associated with Meckel's diverticulum in a tertiary hospital: 12 year review

Enterolithiasis in jejunal diverticulosis, a rare cause of obstruction of the small intestine: a case report

Diverticulitis of the Small Bowel: Case Report and Review of the Literature

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