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Ischemic jejunitis caused by primary small bowel volvulus

J Verbeke1, E Ponette, A L Baert

  • 1Department of Radiology, University Hospitals K.U.Leuven, Belgium.

Journal Belge De Radiologie
|August 1, 1997
PubMed
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A case of ischemic jejunitis from small bowel volvulus showed persistent ischemia signs post-detorsion. Ulcerations, narrowing, and uncommon fistulas were observed, highlighting complex radiological findings in acute small intestine ischemia.

Area of Science:

  • Gastroenterology
  • Radiology
  • Surgical Pathology

Background:

  • Small bowel volvulus is a rare cause of intestinal obstruction.
  • Ischemic jejunitis can result from compromised blood supply to the jejunum.
  • Early diagnosis and management are crucial to prevent complications.

Observation:

  • A case of ischemic jejunitis secondary to primary small bowel volvulus was documented.
  • Radiological signs of ischemia persisted even after surgical detorsion.
  • Contrast examinations revealed severe jejunitis with ulcerations, segmental narrowing, and fistulas.

Findings:

  • The presence of fistulas in this ischemic disorder is an uncommon radiological finding.
  • Persistent radiological signs of ischemia post-detorsion indicate significant bowel damage.

Related Experiment Videos

  • The study discusses the characteristic radiological signs of acute small intestine ischemia.

    • Implications:

    • This case underscores the importance of comprehensive radiological assessment in diagnosing ischemic bowel conditions.
    • Understanding uncommon presentations like fistulas can improve diagnostic accuracy.
    • The findings contribute to the literature on the radiological spectrum of small bowel ischemia.