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Related Experiment Videos

CT of large small-bowel diverticulum

C K Chou1, C W Mak, C C Hou

  • 1Department of Radiology, Chi Mei Foundation Hospital, Tainan, Taiwan, Republic of China.

Abdominal Imaging
|March 28, 1998
PubMed
Summary

Computed tomographic (CT) findings reveal uncomplicated, large small bowel diverticulum, distinct from diverticulitis. This study also highlights the co-occurrence of small bowel diverticulum with small bowel volvulus.

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Area of Science:

  • Radiology
  • Gastroenterology
  • Abdominal Imaging

Background:

  • Previous computed tomographic (CT) literature on small bowel diverticulum primarily focuses on diverticulitis.
  • Uncomplicated and large small bowel diverticula represent a less frequently reported CT finding.
  • Recurrent abdominal pain can be associated with various gastrointestinal conditions.

Purpose of the Study:

  • To describe the computed tomographic (CT) imaging characteristics of uncomplicated, large small bowel diverticulum.
  • To document the coexistence of large small bowel diverticulum and small bowel volvulus.
  • To correlate CT findings with clinical presentations, including recurrent abdominal pain.

Main Methods:

  • Retrospective review of computed tomographic (CT) scans from five patients with large small bowel diverticulum.
  • Analysis of imaging features, including diverticulum size, location, and associated findings.
  • Correlation of imaging findings with patient clinical histories, specifically recurrent abdominal pain.

Main Results:

  • Demonstration of distinct CT appearances for uncomplicated, large small bowel diverticulum.
  • Identification of small bowel volvulus occurring concurrently with large small bowel diverticulum in one case.
  • Four out of five patients reported a history of recurrent abdominal pain over the preceding two years.

Conclusions:

  • Computed tomographic (CT) imaging can effectively identify uncomplicated, large small bowel diverticulum.
  • The association between large small bowel diverticulum and small bowel volvulus is an important consideration.
  • Further investigation may be warranted to understand the clinical significance of these findings in patients with recurrent abdominal pain.

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