Jejuno-ileal diverticulitis with localized perforation: CT and US findings

Purpose

To describe the computed tomography and ultrasound findings of five cases of small bowel diverticulitis with localized perforation.

Material and methods

Our database, from April 2003 to August 2007, was reviewed and five cases of small bowel diverticulitis were identified.

Results

Jejuno-ileal diverticulitis with covered perforation usually presents as wall thickening of a small bowel loop and an adjacent inflammatory mass containing air bubbles.

Conclusion

Small bowel diverticula are rare and mostly asymptomatic. They become clinically relevant when complications arise, such as diverticulitis. The symptoms of jejuno-ileal diverticulitis are non-specific and the diagnosis is performed mainly by imaging studies.