背景:据报道,大的空肠憩室可能是成人肠扭转和急性肠系膜缺血(AMI)的原因。文献中曾报道过小肠大憩室并发肠扭转。然而,在MDCT上很少描述和报道小肠大憩室并发肠扭转和AMI的影像学发现。在这项研究中,我们报道了一个巨大憩室的病例,扭转,同时和AMI;这三种影像学表现在MDCT上进行了回顾和描述,并对相关文献进行了简要介绍。
方法:我们报道了一例69岁男性因急性腹痛和呕吐来我院就诊的病例。进行了紧急的腹部增强MDCT成像,并证明了空肠大憩室继发于AMI的扭转。这里,一个病例突出了MDCT的独特影像学发现,以及文献综述。
结论:对文献的回顾表明,单个空肠憩室引起肠扭转和AMI在成人中很少见。据我们所知,尚未有病例中MDCT征象的系统描述.
BACKGROUND: 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.
METHODS: 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.
CONCLUSIONS: 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.