Douglas S. Katz MD, Presenter: Nothing to Disclose

John J. Hines MD, Abstract Co-Author: Nothing to Disclose

Mariam Moshiri MD, Abstract Co-Author: Consultant, Reed Elsevier Author, Reed Elsevier

Puneet Bhargava MD, Abstract Co-Author: Editor, Reed Elsevier

Ahmed Fadl MD, Abstract Co-Author: Nothing to Disclose

Christine O. Menias MD, Abstract Co-Author: Nothing to Disclose

James Burnett Gardner MD, Abstract Co-Author: Nothing to Disclose

David Jordan Maldow BA, Abstract Co-Author: Nothing to Disclose

Small bowel diverticulosis is frequently missed, particulalry on CT examinations performed in the emergency setting, & although usually incidental, may have implications for patient management in the near future. Small bowel diverticulosis is an uncommon but not rare disorder which the emergency radiologist needs to recognize on CT.  The diagnosis needs to be established prospectively, particularly on CT examinations performed for imaging of the acute abdomen & pelvis, as this is not a diagnosis which generally can be established clinically. A variety of manifestations & complications can be diagnosed utilizing CT, & the radiologist needs to be aware of this spectrum of findings.  

A series of CT examinations from several institutions will be presented, demonstrating examples of small bowel diverticulosis and diverticulitis of the duodenum, jejunum, and ileum.  Meckel's diverticulosis and diverticulitis as demonstrated on CT will be discussed and reviewed.  The use of coronal reformations will be discussed.  The CT findings of small bowel diverticulosis and diverticulitis range from obvious to subtle.  Complications, including perforation, obstruction, abscess formation, lith formation, and 'enterolith ileus', will be demonstrated and discussed.  The relevant clinical and imaging literature will be briefly reviewed. 

http://abstract.rsna.org/uploads/2014/14009206/14009206_xdoi.pdf

Katz, D, Hines, J, Moshiri, M, Bhargava, P, Fadl, A, Menias, C, Gardner, J, Maldow, D, CT of Small Bowel Diverticulosis and Diverticulitis: Findings, Complications, and Implications for the Emergency Radiologist.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14009206.html