{Reference Type}: Case Reports
{Title}: MDCT Imaging of Volvulus Complicated with Acute Mesenteric Ischemia Secondary to a Large Diverticulum of Jejunum in an Adult: A Case Report and Literature Review.
{Author}: Lei Y;Li Z;Zhu T;He Q;Li Y;Tang W;
{Journal}: Curr Med Imaging
{Volume}: 0
{Issue}: 0
{Year}: 2023 Aug 8
暂无{DOI}: 10.2174/1573405620666230808161541
{Abstract}: <B>BACKGROUND: </B>A large jejunal diverticulum has been reported as a possible cause of volvulus and acute mesenteric ischemia (AMI) in adults. A large diverticulum of the small bowel complicated with volvulus has been reported before in literature. However, imaging findings of a large diverticulum of the small bowel complicated with both volvulus and AMI on MDCT are rarely described and reported. In this study, we reported a case with a large diverticulum, volvulus, and AMI concurrently; these three imaging findings were reviewed and described on MDCT, and the relevant literature was briefly introduced.<BR><B>METHODS: </B>We reported the case of a 69-year-old man who presented to our hospital with acute abdominal pain and vomiting. An emergent abdominal enhanced MDCT imaging was performed and demonstrated the volvulus secondary to a large diverticulum of the jejunum complicated with AMI. Here, a case was presented that highlighted unique imaging findings on MDCT, as well as a literature review.<BR><B>CONCLUSIONS: </B>A review of the literature revealed that a single jejunal diverticulum causing both volvulus and AMI is rare in adults. To our knowledge, a systemic description of their signs on MDCT in a case has not been reported yet.