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Jejuno-ileal diverticulitis with localized perforation: CT and US findings
Lucía Graña1, Iñigo Pedraja, Ramiro Mendez
1Department of Diagnostic Imaging, Hospital Clínico San Carlos, Profesor Martín Lagos, 28040 Madrid, Spain. lu_rx@hotmail.com
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.
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