Ileal diverticulitis

Case contributed by Mostafa El-Feky


Abdominal pain

Patient Data

Age: 50 years
Gender: Male

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

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.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.