The Use of Computed Tomography in the Diagnosis of Jejunal Diverticulosis Complicated by Diverticulitis and Intestinal Bleeding
The jejunal diverticulosis is rare and accounts for approximately 0.5–1 % of the general population. Diagnosis of the pathology is difficult even in the presence of symptomatic complications (perforation, abscess, peritonitis, sepsis, intestinal obstruction and bleeding), therefore, it is often over...
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| Format: | Article |
| Language: | English |
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Luchevaya Diagnostika, LLC
2022-07-01
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| Series: | Вестник рентгенологии и радиологии |
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| Online Access: | https://www.russianradiology.ru/jour/article/view/715 |
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| author | V. K. Labutin M. V. Rostovtsev N. V. Nudnov V. M. Nadaraya M. A. Godzhello I. V. Litvinenko T. A. Nikonorova V. O. Vorob’eva |
| author_facet | V. K. Labutin M. V. Rostovtsev N. V. Nudnov V. M. Nadaraya M. A. Godzhello I. V. Litvinenko T. A. Nikonorova V. O. Vorob’eva |
| author_sort | V. K. Labutin |
| collection | DOAJ |
| description | The jejunal diverticulosis is rare and accounts for approximately 0.5–1 % of the general population. Diagnosis of the pathology is difficult even in the presence of symptomatic complications (perforation, abscess, peritonitis, sepsis, intestinal obstruction and bleeding), therefore, it is often overlooked or delayed, which requires high awareness and vigilance of physicians. Emergency surgical interventions are performed due to the lack of clear clinical symptoms and reliable radiological data in an average of 25 % of patients with complications of diverticulosis. In the presented case, multislice computed tomography (MSCT) with intravenous contrasting revealed multiple diverticula of the jejunum with reactively altered walls, infiltration of the adjacent cellular tissue and small gas inclusions, indicating diverticulum microperforation. Esophagogastroduodenoscopy (EGD) was performed which confirmed the jejunum bleeding, and was followed by laparotomy which confirmed multiple jejunal diverticula with microperforation and bleeding. Thus, timely MSCT in combination with EGD allowed to avoid complications of jejunal diverticulitis. |
| first_indexed | 2024-03-08T10:22:08Z |
| format | Article |
| id | doaj.art-e4c92b1379e945d890478e5008db04ee |
| institution | Directory Open Access Journal |
| issn | 0042-4676 2619-0478 |
| language | English |
| last_indexed | 2024-03-08T10:22:08Z |
| publishDate | 2022-07-01 |
| publisher | Luchevaya Diagnostika, LLC |
| record_format | Article |
| series | Вестник рентгенологии и радиологии |
| spelling | doaj.art-e4c92b1379e945d890478e5008db04ee2024-01-27T18:38:37ZengLuchevaya Diagnostika, LLCВестник рентгенологии и радиологии0042-46762619-04782022-07-011031-3626810.20862/0042-4676-2022-103-1-3-62-68410The Use of Computed Tomography in the Diagnosis of Jejunal Diverticulosis Complicated by Diverticulitis and Intestinal BleedingV. K. Labutin0M. V. Rostovtsev1N. V. Nudnov2V. M. Nadaraya3M. A. Godzhello4I. V. Litvinenko5T. A. Nikonorova6V. O. Vorob’eva7Zhadkevich City Clinical HospitalZhadkevich City Clinical HospitalRussian Scientific Center of Radiology; Russian Medical Academy of Continuing Professional Education; Peoples’ Friendship University of RussiaZhadkevich City Clinical HospitalZhadkevich City Clinical HospitalZhadkevich City Clinical HospitalZhadkevich City Clinical HospitalRussian Scientific Center of RadiologyThe jejunal diverticulosis is rare and accounts for approximately 0.5–1 % of the general population. Diagnosis of the pathology is difficult even in the presence of symptomatic complications (perforation, abscess, peritonitis, sepsis, intestinal obstruction and bleeding), therefore, it is often overlooked or delayed, which requires high awareness and vigilance of physicians. Emergency surgical interventions are performed due to the lack of clear clinical symptoms and reliable radiological data in an average of 25 % of patients with complications of diverticulosis. In the presented case, multislice computed tomography (MSCT) with intravenous contrasting revealed multiple diverticula of the jejunum with reactively altered walls, infiltration of the adjacent cellular tissue and small gas inclusions, indicating diverticulum microperforation. Esophagogastroduodenoscopy (EGD) was performed which confirmed the jejunum bleeding, and was followed by laparotomy which confirmed multiple jejunal diverticula with microperforation and bleeding. Thus, timely MSCT in combination with EGD allowed to avoid complications of jejunal diverticulitis.https://www.russianradiology.ru/jour/article/view/715diverticulitisjejunumintestinal bleedingmultislice computed tomographyesophagogastroduodenoscopy |
| spellingShingle | V. K. Labutin M. V. Rostovtsev N. V. Nudnov V. M. Nadaraya M. A. Godzhello I. V. Litvinenko T. A. Nikonorova V. O. Vorob’eva The Use of Computed Tomography in the Diagnosis of Jejunal Diverticulosis Complicated by Diverticulitis and Intestinal Bleeding Вестник рентгенологии и радиологии diverticulitis jejunum intestinal bleeding multislice computed tomography esophagogastroduodenoscopy |
| title | The Use of Computed Tomography in the Diagnosis of Jejunal Diverticulosis Complicated by Diverticulitis and Intestinal Bleeding |
| title_full | The Use of Computed Tomography in the Diagnosis of Jejunal Diverticulosis Complicated by Diverticulitis and Intestinal Bleeding |
| title_fullStr | The Use of Computed Tomography in the Diagnosis of Jejunal Diverticulosis Complicated by Diverticulitis and Intestinal Bleeding |
| title_full_unstemmed | The Use of Computed Tomography in the Diagnosis of Jejunal Diverticulosis Complicated by Diverticulitis and Intestinal Bleeding |
| title_short | The Use of Computed Tomography in the Diagnosis of Jejunal Diverticulosis Complicated by Diverticulitis and Intestinal Bleeding |
| title_sort | use of computed tomography in the diagnosis of jejunal diverticulosis complicated by diverticulitis and intestinal bleeding |
| topic | diverticulitis jejunum intestinal bleeding multislice computed tomography esophagogastroduodenoscopy |
| url | https://www.russianradiology.ru/jour/article/view/715 |
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