Skip to main content
Log in

Multislice computed tomography angiography findings of chronic small bowel volvulus with jejunal diverticulosis

  • Case Report
  • Published:
Japanese Journal of Radiology Aims and scope Submit manuscript

Abstract

A volvulus, which is torsion of the bowel and its mesentery, is a medical emergency. Small bowel volvulus rarely occurs in adults, although it has been reported in the presence of small bowel diverticulum. Multislice computed tomography (CT) angiography, by demonstrating the mesenteric vessels, can be of help in the diagnosis of small bowel volvulus, especially when CT or gastrointestinal studies fail to show the diverticulum. We present the multislice CT angiography findings of a 64-year-old woman with chronic intermittent volvulus resulting from jejunal diverticulosis, surgically confirmed. To our knowledge, no similar case has been reported previously in the literature.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Gollub MJ, Yoon S, Lachlan Smith LM, Moskowitz CS. Does the CT whirl sign really predict small bowel volvulus? Experience in an oncologic population. J Comput Assist Tomogr 2006;30:25–32.

    Article  PubMed  Google Scholar 

  2. Chou CK, Mak CW, Hou CC, Chang JM. CT of large smallbowel diverticulum. Abdom Imaging 1998;23:132–134.

    Article  CAS  PubMed  Google Scholar 

  3. Bozlar U, Ugurel MS, Ustunsoz B, Coskun U. CT angiographic demonstration of a mesenteric vessel “whirlpool” in intestinal malrotation and midgut volvulus: a case report. Korean J Radiol 2008;9:466–469.

    Article  PubMed  Google Scholar 

  4. Huang JC, Shin JS, Huang YT, Chao CJ, Ho SC, Wu MJ, et al. Small bowel volvulus among adults. J Gastroenterol Hepatol 2005;20:1906–1912.

    Article  PubMed  Google Scholar 

  5. Lassandro F, Giovine S, Pinto A, De Lutio Di Castelguidone E, Sacco M, Scaglione M, et al. Small bowel volvulus: combined radiological findings. Radiol Med (Torino) 2001;102: 43–47.

    CAS  Google Scholar 

  6. Chou CK, Mark CW, Wu RH, Chang JM. Large diverticulum and volvulus of the small bowel in adults. World J Surg 2005; 29:80–82.

    Article  PubMed  Google Scholar 

  7. Patel VA, Jefferis H, Spiegelberg B, Iqbal Q, Prabhudesai A, Harris S. Jejunal diverticulosis is not always a silent spectator: a report of 4 cases and review of the literature. World J Gastroenterol 2008;14:5916–5919.

    Article  PubMed  Google Scholar 

  8. Altemeier WA, Bryant LR, Wulsin JH. The surgical significance of jejunal diverticulosis. Arch Surg 1963;86:732–745.

    CAS  PubMed  Google Scholar 

  9. Chiu KW, Changchien CS, Chuah SK. Small-bowel diverticulum: is it a risk for small-bowel volvulus? J ClinGastroenterol 1994;19:176–177.

    CAS  Google Scholar 

  10. Mori H, Hayashi K, Futagawa S, Uetani M, Yanagi T, Kurosaki N. Vascular compromise in chronic volvulus with midgut malrotation. Pediatr Radiol 1987;17:277–281.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Xiao-Bing Li.

About this article

Cite this article

Li, XB., Guan, WX. & Gao, Y. Multislice computed tomography angiography findings of chronic small bowel volvulus with jejunal diverticulosis. Jpn J Radiol 28, 469–472 (2010). https://doi.org/10.1007/s11604-010-0443-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11604-010-0443-z

Key words

Navigation