Presentation
Left upper and middle abdominal pain for past 3 days, fever. WBC 20K, CRP 200.
Patient Data
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![This study is a stack](/packs/stack-YQKLCKBI.gif)
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![This study is a stack](/packs/stack-YQKLCKBI.gif)
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Several diverticula in single loop of jejunum, adjacent to left abdominal wall. One of the diverticula, in the mesenteric wall, measures 3.06 x 3.3 x 3.6 cm and contains fecaloid matter (bezoar?). Marked jejunal wall thickening, hyperemia and prominent mesenteric fat stranding around said diverticulum. No free intra-abdominal gas.
Impression: suspicion of sealed perforation of jejunal diverticulum.
Status post TAVI.
The uterus and adnexa have been removed (TAH-BSO).
Several tiny peripherally located hypodense foci in spleen, too small to characterize.
Few tiny cystic lesions scattered throughout the pancreas, abutting the main pancreatic duct - possibly IPMN.
Several diverticula in sigmoid colon, two of which are calcified.
Anterolisthesis grade I of L3 upon L4. Discogenic changes with vacuum phenomenon in most of intervertebral disks included in the scan; at T12-L1, with Modic type 3 changes.
Summary:
Jejunal diverticulitis, possibly with sealed perforation.
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Jejunum showing diverticula and perforation.
Case Discussion
She underwent resection of the diseased part of her jejunum, after which she recovered uneventfully.