Imaging Findings of Midgut Volvulus Associated with a Large Small-Bowel Diverticulum in an Adult Patient: Case Report
Journal of the Korean Radiological Society
; : 365-368, 2004.
Article
in En
| WPRIM
| ID: wpr-76499
Responsible library:
WPRO
ABSTRACT
Although most patients with jejunoileal diverticulum are asymptomatic, a large, small-bowel diverticulum can be associated with midgut volvulus in an adult. We present a rare case of midgut volvulus that was associated with a large, small-bowel diverticulum in a 77-year-old woman presenting with chronic recurrent abdominal pain. The CT showed the characteristic whirl sign of twisted mesentery, the small bowel loops along the superior mesenteric artery and a large sac-like small-bowel diverticulum. A small bowel series also demonstrated a corkscrew appearance of proximal jejunum, a finding suggestive of midgut volvulus, and a large jejunal diverticulum. During the laparotomy, the small bowel was seen twisted counterclockwise 270 degree. The mesenteric root was very shortened. A 4 cm sized diverticulum was seen on the mesenteric border of jejunum, on the portion about 40 cm distal from the Treitz ligament.
Key words
Full text:
1
Database:
WPRIM
Main subject:
Abdominal Pain
/
Diverticulum
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Mesenteric Artery, Superior
/
Intestinal Volvulus
/
Jejunum
/
Laparotomy
/
Ligaments
/
Mesentery
Type of study:
Diagnostic_studies
Limits:
Adult
/
Aged
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Female
/
Humans
Language:
En
Journal:
Journal of the Korean Radiological Society
Year:
2004
Document type:
Article