Zhou Albert, Bella Sarah, Patwa Amy
Atlantic Health System, Morristown Medical Center, Morristown, NJ.
J Educ Teach Emerg Med. 2023 Jan 31;8(1):V1-V4. doi: 10.21980/J8F078. eCollection 2023 Jan.
Small bowel diverticulitis is an uncommon subset of acute diverticulitis and can mimic many other intra-abdominal processes. As a result, imaging modalities such as ultrasound and computed tomography (CT) scan are especially important for timely recognition of diverticulitis and can expedite diagnosis and treatment and reduce complications. In the case described in this report, an 81-year-old male with history of esophageal cancer and recurrent diverticulitis with history of multiple bowel resections presented to the emergency department (ED) with right lower quadrant abdominal pain and constipation. Findings on ultrasound were suggestive of diverticulitis, and findings on CT of the abdomen and pelvis showed ileitis with phlegmon and micro-abscess suspicious for small bowel diverticulitis. ED providers should familiarize themselves with ultrasound findings of diverticulitis and be aware that diverticulitis can also present in the small bowel. Treatment of small bowel diverticulitis is similar to colonic diverticulitis.
Ileitis, small bowel diverticulitis, abdominal ultrasound.
小肠憩室炎是急性憩室炎中不常见的一种类型，可类似许多其他腹腔内病变。因此，超声和计算机断层扫描（CT）等影像学检查手段对于及时识别憩室炎尤为重要，能够加快诊断和治疗并减少并发症。在本报告所述病例中，一名81岁男性，有食管癌病史且反复发生憩室炎，曾多次接受肠道切除术，因右下腹腹痛和便秘就诊于急诊科（ED）。超声检查结果提示憩室炎，腹部和盆腔CT检查结果显示回肠炎伴蜂窝织炎和微脓肿，怀疑为小肠憩室炎。急诊科医护人员应熟悉憩室炎的超声表现，并意识到憩室炎也可发生于小肠。小肠憩室炎的治疗与结肠憩室炎相似。
回肠炎、小肠憩室炎、腹部超声
