Abdominal Imaging

, Volume 32, Issue 2, pp 228–233

Diverticulitis of the small bowel: CT diagnosis

Authors

    • Department of RadiologyClinique Saint Luc
  • Philippe Maldague
    • Department of GastroenterologyClinique Saint Luc
  • Albert Bourgeois
    • Department of GastroenterologyClinique Saint Luc
  • Bernard Broze
    • Department of Visceral SurgeryClinique Saint Luc
Article

DOI: 10.1007/s00261-006-9045-8

Cite this article as:
Coulier, B., Maldague, P., Bourgeois, A. et al. Abdom Imaging (2007) 32: 228. doi:10.1007/s00261-006-9045-8

Abstract

In contrast with their colonic equivalents, noncolonic diverticula of the gastro-intestinal tract are much rarer and an uncommon site of inflammation. Symptoms and signs are generally nonspecific and before the advent and development of CT, clinical and radiological diagnosis was very difficult. As a result laparotomy was carried out in most cases without correct preoperative diagnosis. We report three rare cases of noncolonic diverticulitis, respectively, affecting the duodenum, the jejunum, and the distal ileum. MDCT with multiplanar reconstructions revealed unambiguously diagnostic features in the three cases and allowed minimally invasive endoscopic drainage in the duodenal case and successful conservative medical treatment in the jejunal and ileal cases. We discuss and review the prevalence, physiopathology, symptoms, and complications of diverticula of the duodenum and jejuno-ileum and emphasis on the high performance of MDCT for the diagnosis of acute diverticular complications.

Keywords

Acute abdomen, CTIntestinal diverticula, complicationsDuodenal diverticulitisJejunal diverticulitisIleal diverticulitis

Copyright information

© Springer Science+Business Media, Inc. 2006