CT of jejunal diverticulitis: imaging findings, differential diagnosis, and clinical management

Clin Radiol. 2007 Jan;62(1):73-7. doi: 10.1016/j.crad.2006.09.014.

Abstract

Aim: To describe the imaging findings of jejunal diverticulitis as depicted at contrast-enhanced computed tomography (CT) and review the differential diagnosis and clinical management.

Materials and methods: CT and pathology databases were searched for the diagnosis of jejunal diverticulitis. Three cases were identified and the imaging and clinical findings correlated.

Results: Jejunal diverticulitis presents as a focal inflammatory mass involving the proximal small bowel. A trial of medical management with antibiotics may be attempted. Surgical resection may be required if medical management is unsuccessful.

Conclusion: The imaging findings at MDCT may allow a specific diagnosis of jejunal diverticulitis to be considered and may affect the clinical management of the patient.

Publication types

  • Case Reports

MeSH terms

  • Abdomen, Acute / diagnostic imaging
  • Abdomen, Acute / etiology
  • Abdomen, Acute / surgery
  • Abdominal Pain / diagnostic imaging
  • Abdominal Pain / etiology
  • Abdominal Pain / surgery
  • Aged
  • Aged, 80 and over
  • Diagnosis, Differential
  • Diverticulitis / complications
  • Diverticulitis / diagnostic imaging*
  • Diverticulitis / surgery
  • Diverticulum / complications
  • Diverticulum / diagnostic imaging
  • Diverticulum / surgery
  • Humans
  • Jejunal Diseases / complications
  • Jejunal Diseases / diagnostic imaging*
  • Jejunal Diseases / surgery
  • Jejunum / diagnostic imaging*
  • Jejunum / surgery
  • Male
  • Middle Aged
  • Tomography, X-Ray Computed*