The CT findings of jejunoileal diverticulitis resulting in bowel obstruction
10.3969/j.issn.1002-1671.2016.12.019
- VernacularTitle:并发肠梗阻的小肠憩室病变的CT表现
- Author:
Xingdong GENG
;
Xiuhong SHAN
;
Hui HU
;
Peng WANG
- Keywords:
small bowel diverticulum;
bowel obstruction;
computed tomography
- From:
Journal of Practical Radiology
2016;32(12):1894-1897
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the diagnostic value of MSCT in small bowel obstruction and related complications caused by diverticulitis.Methods Clinical data and CT findings of 13 patients with diverticulitis and related complications were reviewed.The imaging findings of diverticulitis were calculated and compared with those in other 20 cases without intestinal obstruction.Results Among the 1 3 cases with diverticulitis,8 occurred in the j ej unum and other 5 in ileum.CT revealed the diverticulitis in all patients as a predominantly cylindrical expansion in communication with the adjacent small bowel.CT showed intraluminal intestinal contents and little air bubbles in 3 cases with simple diverticulitis,thickening of the appendix lumen in 2 cases with perforated diverticulitis, and annular high-density in lumen in 2 cases with diverticulitis and bezoar.CT also showed diverticulitis with volvulus in 6 cases as mesenteric swirling.The average thickness of diverticula were (3.06±0.31)mm,and the average volume of diverticula were (98.98±38.59)cm3 , exhibting statistically significant differences between diverticulitis and control groups (P value were 0.000 and 0.000).Conclusion MSCT is helpful for the diagnosis of small bowel obstruction and related complications caused by diverticulitis.
