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

Jpn J Radiol. 2010 Jul;28(6):469-72. doi: 10.1007/s11604-010-0443-z. Epub 2010 Jul 27.

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.

Publication types

  • Case Reports

MeSH terms

  • Abdominal Pain / etiology
  • Angiography / methods
  • Chronic Disease
  • Contrast Media
  • Diagnosis, Differential
  • Diverticulum / complications
  • Diverticulum / diagnostic imaging*
  • Diverticulum / surgery
  • Female
  • Humans
  • Imaging, Three-Dimensional / methods
  • Intestinal Volvulus / complications
  • Intestinal Volvulus / diagnostic imaging*
  • Intestinal Volvulus / surgery
  • Intestine, Small / blood supply
  • Intestine, Small / diagnostic imaging*
  • Intestine, Small / surgery
  • Iohexol / analogs & derivatives
  • Jejunal Diseases / complications
  • Jejunal Diseases / diagnostic imaging*
  • Jejunal Diseases / surgery
  • Mesenteric Artery, Superior / diagnostic imaging*
  • Middle Aged
  • Radiographic Image Enhancement / methods
  • Tomography, X-Ray Computed / methods

Substances

  • Contrast Media
  • Iohexol
  • iopromide