Imaging Findings of Midgut Volvulus Associated with a Large Small-Bowel Diverticulum in an Adult Patient: Case Report.
10.3348/jkrs.2004.50.5.365
- Author:
Jee Young KIM
1
;
Sung Eun RHA
;
Soon Nam OH
;
Seal HWANG-BO
;
Jae Young BYUN
Author Information
1. Department of Radiology, Kangnam St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Korea. serha@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Intestines, CT;
Intestines, diverticula;
Intestines, stenosis or obstruction
- MeSH:
Abdominal Pain;
Adult*;
Aged;
Diverticulum*;
Female;
Humans;
Intestinal Volvulus*;
Jejunum;
Laparotomy;
Ligaments;
Mesenteric Artery, Superior;
Mesentery
- From:Journal of the Korean Radiological Society
2004;50(5):365-368
- CountryRepublic of Korea
- Language:English
-
Abstract:
Although most patients with jejunoileal diverticulum are asymptomatic, a large, small-bowel diverticulum can be associated with midgut volvulus in an adult. We present a rare case of midgut volvulus that was associated with a large, small-bowel diverticulum in a 77-year-old woman presenting with chronic recurrent abdominal pain. The CT showed the characteristic whirl sign of twisted mesentery, the small bowel loops along the superior mesenteric artery and a large sac-like small-bowel diverticulum. A small bowel series also demonstrated a corkscrew appearance of proximal jejunum, a finding suggestive of midgut volvulus, and a large jejunal diverticulum. During the laparotomy, the small bowel was seen twisted counterclockwise 270 degree. The mesenteric root was very shortened. A 4 cm sized diverticulum was seen on the mesenteric border of jejunum, on the portion about 40 cm distal from the Treitz ligament.
