Type:
Educational Exhibit
Keywords:
Performed at one institution, Observational, Retrospective, Obstruction / Occlusion, Diverticula, Abscess, Diagnostic procedure, Colonography CT, MR, CT-Enterography, CT, Gastrointestinal tract, Abdomen, Abdominal Viscera
Authors:
B. Gargouri1, N. Toumi1, S. sellami2, H. Njeh1, H. Harbi1, K. Ben Mahfoudh3; 1Sfax/TN, 2tunis/TN, 33000/TN
DOI:
10.26044/ecr2020/C-04806
Background
Jejunal diverticulitis is a rare entity with a higher prevalence among patients between 60 and 70 years.
It is most often considered as an incidental finding, but, it can have complications such as perforation, abscess, generalized peritonitis, fistula, obstruction and bleeding
Because the clinical presentation of complicated jejunal diverticulitis is generally nonspecific, diagnosis is very difficult
CT with multi-slice acquisitions and multiplanar reconstructions is currently the key examination for the diagnosis
Surgery, including resection of the diseased bowel portion with direct anastomosis, is the treatment generally reported for small intestinal diverticulitis complicated by hemorrhage, obstruction, or perforation.It is also is mandatory in case of generalized peritonitis or voluminous local abscess complicating small bowel diverticulitis. Some authors report using medical treatment only for diverticulitis.