EURORAD ESR

Case 4602

Small bowel diverticulitis

Author(s)
Pilavas P, Theophanous M

Aretaeion Hospital, Nicosia, Cyprus
 
Patient
female, 83 year(s)
 
 
  • Figure 1
    CT abdomen 1

    CT image showing two small bowel diverticula (arrows) which contain bowel material and air. Gastrographin is entering one of them. There is marked mesenteric oedema around the diverticula.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Special Focus: Diverticula;
     
     
  • Figure 2
    CT abdomen 2

    CT image showing one small bowel diverticulum (arrow) which is completely filled with gastrographin. There are no folds compared to adjacent small bowel loops. There is no mesenteric oedema.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Special Focus: Diverticula;
     
     
  • Figure 3
    CT abdomen 3

    CT image showing a small diverticulum (arrow). There is mesenteric oedema (arrowhead) lateral to the diverticulum. At surgery there was no inflammation of this diverticulum; the mesenteric oedema was due to...

     
    Area of Interest: Abdomen; Imaging Technique: CT; Special Focus: Diverticula;
     
     
  • Figure 4
    CT abdomen 4 coronal reconstruction

    Coronal CT reconstruction showing inflamed diverticulum with marked mesenteric oedema around it and without gastrographin at its lumen.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Special Focus: Diverticula;
     
     
  • Figure 5
    Surgical specimen 1

    Surgical specimen of the removed small bowel loop with several diverticula. The diverticula are located at the mesenteric border of the small bowel loop and they are most probably acquired.

     
    Area of Interest: Abdomen; Special Focus: Diverticula;
     
     
  • Figure 6
    Surgical specimen 2

    Surgical image showing the narrow orifice of one diverticulum through the opened small bowel lumen

     
    Area of Interest: Abdomen; Special Focus: Diverticula;
     
     
  • Figure 7
    Surgical specimen 3

    Surgical specimen showing the inflammatory material inside a diverticulum, due to bacterial overgrowth.

     
    Area of Interest: Abdomen; Special Focus: Diverticula;
     
     
CT image showing two small bowel diverticula (arrows) which contain bowel material and air. Gastrographin is entering one of them. There is marked mesenteric oedema around the diverticula.
 
CT image showing one small bowel diverticulum (arrow) which is completely filled with gastrographin. There are no folds compared to adjacent small bowel loops. There is no mesenteric oedema.
 
CT image showing a small diverticulum (arrow). There is mesenteric oedema (arrowhead) lateral to the diverticulum. At surgery there was no inflammation of this diverticulum; the mesenteric oedema was due to inflammation of other diverticula.
 
Coronal CT reconstruction showing inflamed diverticulum with marked mesenteric oedema around it and without gastrographin at its lumen.
 
Surgical specimen of the removed small bowel loop with several diverticula. The diverticula are located at the mesenteric border of the small bowel loop and they are most probably acquired.
 
Surgical image showing the narrow orifice of one diverticulum through the opened small bowel lumen
 
Surgical specimen showing the inflammatory material inside a diverticulum, due to bacterial overgrowth.
 
 
 
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