Ileal diverticulitis

Case contributed by Mostafa Elfeky
Diagnosis almost certain

Presentation

Abdominal pain

Patient Data

Age: 50 years
Gender: Male
ct
This study is a stack
Axial C+ portal
venous phase
This study is a stack
Coronal C+ portal
venous phase
This study is a stack
Sagittal C+ portal
venous phase
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Info

In the midline of the lower abdomen is a focus of central gas content and perifocal fat stranding adjacent an ileal loop mesenteric border with a tiny gas-filled connection to bowel lumen. Mild reactive thickening of the adjacent bowel wall. No abscess formation. No other diverticula.

Multiple gallstones.

Grade I lytic spondylolisthesis of L4 over L5.

Annotated image
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Info

Green arrow points at the ileal diverticulum.

Case Discussion

Imaging features of ileal diverticulitis is similar to colonic diverticulitis. Acute diverticulitis of the small bowel is rare. The patient was managed conservatively.

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