Multislice computed tomography angiography findings of chronic small bowel volvulus with jejunal diverticulosis.
A volvulus, which is torsion of the bowel and its mesentery, is a medical emergency. Small bowel volvulus rarely occurs in adults, although it has been reported in the presence of small bowel diverticulum. Multislice computed tomography (CT) angiography, by demonstrating the mesenteric vessels, can be of help in the diagnosis of small bowel volvulus, especially when CT or gastrointestinal studies fail to show the diverticulum. We present the multislice CT angiography findings of a 64-year-old woman with chronic intermittent volvulus resulting from jejunal diverticulosis, surgically confirmed. To our knowledge, no similar case has been reported previously in the literature.
Li
Xiao-Bing
XB
Department of Radiology, Suzhou Municipal Hospital, Nanjing Medical University Affiliated Suzhou Hospital, Suzhou, Daoqian Road 26, Suzhou, 215002, China. mrisus@Gmail.com
Guan
Wen-Xian
WX
Gao
Yuan
Y
D015746:Abdominal Pain / Q000209:etiology; D000792:Angiography / Q000379:methods; D002908:Chronic Disease; D003287:Contrast Media; D003937:Diagnosis, Differential; D004240:Diverticulum / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D005260:Female; D006801:Humans; D021621:Imaging, Three-Dimensional / Q000379:methods; D045822:Intestinal Volvulus / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D007421:Intestine, Small / Q000098:blood supply / Q000000981:diagnostic imaging* / Q000601:surgery; D007472:Iohexol / Q000031:analogs & derivatives; D007579:Jejunal Diseases / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D017538:Mesenteric Artery, Superior / Q000000981:diagnostic imaging*; D008875:Middle Aged; D011856:Radiographic Image Enhancement / Q000379:methods; D014057:Tomography, X-Ray Computed / Q000379:methods
D003287:Contrast Media; D007472:Iohexol; C038192:iopromide