PMC4677739_01
Abdominal plain radiography; there are no specific findings.
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On upright plain abdominal radiography there was no evidence of free abdominal air, air-fluid levels or dilated intestinal loops (Figure 1).
A 67-year-old man with jejunal diverticulitis (A, B). Abdominal US demonstrates thickened hypoechoic irregular formations with hyperechoic centre, connected to the jejunum and suggestive of diverticula.
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Ultrasonographic examination in our clinic revealed diverticulum-like images with thickened walls adjacent to the small intestine loops, and increase in the echogenicity of the surrounding mesenteric fat tissue (Figure 2).
Contrast-enhanced abdominal CT, with oral contrast medium: axial images; (A) A segment of the jejunum with three diverticula is observed, with wall thickening and increased density of the surrounding mesenteric fat tissue (arrow); (B) Control CT axial image 4 weeks after healing at the same level of the abdomen showed that diverticulitis findings were regressed.
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Contrast-enhanced abdominal computed tomography (CT) investigations showed multiple diverticula, the largest one being 43x23 mm in size, associated with jejunal loops, and contrast-air-fluid levels, 3 adjacent diverticula with thickened walls, showing contrast enhancement adjacent to the jejunum in the left middle quadrant, increased density of the surrounding mesenteric fat tissue and mesenteric lymph nodes (Figures 3-5). Four weeks later control CT evaluation showed no extra findings suggesting Crohn disease, neoplasm or other pathologies other than diverticulosis (Figures 3-5).
Contrast-enhanced abdominal CT, with oral contrast medium: sagittal reformatted images. Multiple diverticula are observed at the jejunum (A, B); (A) There is a segment of the jejunum with diverticula involved by an inflammatory process; (B) Control CT after medical treatment at the same level of the abdomen showed that diverticulitis findings were regressed.
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Contrast-enhanced abdominal computed tomography (CT) investigations showed multiple diverticula, the largest one being 43x23 mm in size, associated with jejunal loops, and contrast-air-fluid levels, 3 adjacent diverticula with thickened walls, showing contrast enhancement adjacent to the jejunum in the left middle quadrant, increased density of the surrounding mesenteric fat tissue and mesenteric lymph nodes (Figures 3-5). Four weeks later control CT evaluation showed no extra findings suggesting Crohn disease, neoplasm or other pathologies other than diverticulosis (Figures 3-5).
(A) Abdominal CT coronal reformatted images demonstrated the inflamed diverticulum (arrow); (B) Control CT 4 weeks after the medical therapy showed a jejunal diverticulum and no other pathological processes.
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Contrast-enhanced abdominal computed tomography (CT) investigations showed multiple diverticula, the largest one being 43x23 mm in size, associated with jejunal loops, and contrast-air-fluid levels, 3 adjacent diverticula with thickened walls, showing contrast enhancement adjacent to the jejunum in the left middle quadrant, increased density of the surrounding mesenteric fat tissue and mesenteric lymph nodes (Figures 3-5). Four weeks later control CT evaluation showed no extra findings suggesting Crohn disease, neoplasm or other pathologies other than diverticulosis (Figures 3-5).