Jejunal diverticulitis with contained perforation

Case contributed by Dr Wayland Wang

Presentation

3 days of left lower quadrant pain. Previous history of sigmoid diverticulitis.

Patient Data

Age: 60
Gender: Male

There is a thickened loop of jejunum with moderate degree of fat stranding affecting the associated mesentery. Small outpouchings are demonstrated arising from the mesenteric border of the jejunum, compatible with small bowel diverticulosis. Several of these are centred in the region of fat stranding. Two gas locules are on the space from adjacent small bowel. While the larger of these could still represent a diverticulum with intervening wall thickening, the smaller locule is favoured to represent extraluminal gas.

Incidental findings include colonic diverticulosis, cortical scarring in the upper pole of the right kidney, small hiatus hernia and atelectasis at the lung bases.

PlayAdd to Share

Case information

rID: 37703
Case created: 19th Jun 2015
Last edited: 21st Jan 2017
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

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

Alert accept Thank you for updating your details.