Title:MDCT Imaging of Volvulus Complicated with Acute Mesenteric Ischemia
Secondary to a Large Diverticulum of Jejunum in an Adult: A Case Report and
Literature Review
Volume: 20
Author(s): Yan Lei, Zhi-chun Li, Ting-ting Zhu, Qian He, Yong Li*Wei Tang*
Affiliation:
- Sichuan Key Laboratory of Medical Imaging, Department of Radiology, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan
Province, China
- Sichuan Key Laboratory of Medical Imaging, Department of Radiology, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan
Province, China
Keywords:
Volvulus, Diverticulum, Jejunum, Bowel, Mesenteric ischemia, MDCT. Article
Abstract:
Introduction:
A large jejunal diverticulum has been reported as a possible cause of volvulus and acute mesenteric ischemia (AMI) in adults. A large diverticulum
of the small bowel complicated with volvulus has been reported before in literature. However, imaging findings of a large diverticulum of the small
bowel complicated with both volvulus and AMI on MDCT are rarely described and reported. In this study, we reported a case with a large
diverticulum, volvulus, and AMI concurrently; these three imaging findings were reviewed and described on MDCT, and the relevant literature
was briefly introduced.
Case Report:
We reported the case of a 69-year-old man who presented to our hospital with acute abdominal pain and vomiting. An emergent abdominal
enhanced MDCT imaging was performed and demonstrated the volvulus secondary to a large diverticulum of the jejunum complicated with AMI.
Here, a case was presented that highlighted unique imaging findings on MDCT, as well as a literature review.
Conclusion:
A review of the literature revealed that a single jejunal diverticulum causing both volvulus and AMI is rare in adults. To our knowledge, a systemic
description of their signs on MDCT in a case has not been reported yet.
