Benya E C, Ghahremani G G, Brosnan J J
Department of Diagnostic Radiology, Evanston Hospital-McGaw Medical Center of Northwestern University, Illinois 60201.
Gastrointest Radiol. 1991 Winter;16(1):24-8. doi: 10.1007/BF01887297.
This article describes three cases of jejunal diverticulitis in elderly women, who had presented with pain and tenderness in the periumbilical region or the left side of the abdomen, low-grade fever, anemia, and weight loss. The findings were initially attributed to possible inflammatory or neoplastic lesions of the colon. However, gastrointestinal barium studies and computed tomography (CT) of the abdomen proved crucial in establishing the preoperative diagnosis of jejunal diverticulitis and its associated abscess in the adjacent mesentery or abdominal wall. The clinical and radiological manifestations of this uncommon entity are herein presented along with a brief review of the pertinent literature.
本文描述了3例老年女性空肠憩室炎病例,这些患者表现为脐周或腹部左侧疼痛和压痛、低热、贫血及体重减轻。最初,这些表现被归因于结肠可能存在的炎症或肿瘤性病变。然而,胃肠道钡剂造影和腹部计算机断层扫描(CT)对于术前诊断空肠憩室炎及其相邻肠系膜或腹壁的相关脓肿至关重要。本文介绍了这种罕见疾病的临床和放射学表现,并对相关文献进行了简要综述。