ArticleEuropean radiology2016
Magnetic resonance enterography/enteroclysis in acquired small bowel diverticulitis and small bowel diverticulosis.
Article in European radiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.
- A Systematic Review of Technical Parameters for MR of the Small Bowel in non-IBD Conditions over the Last Ten Years.Scientific reports · 2019Pooled it
- Jejunal diverticulosis presenting as intestinal obstruction-A case report of a rare association.Clinical case reports · 2023Article
- Recurrent spontaneous small bowel perforations with a rare pathology: non-familial visceral myopathy.BMJ case reports · 2021Article
- Small Bowel Diverticulosis: Pathogenesis, Clinical Management, and New Concepts.Current gastroenterology reports · 2020Review
- A Rare Presentation of Small Bowel Diverticulosis Causing Chronic Obstruction and Malnutrition: A Case Study with Review of Literature.Case reports in surgery · 2019Article
- MRI of the bowel - beyond inflammatory bowel disease.Pediatric radiology · 2018Review
- Small bowel diverticulitis: an imaging review of an uncommon entity.Emergency radiology · 2017Review
- Jejunoileal diverticulosis, a rare cause of ileal perforation - Case report.Annals of medicine and surgery (2012) · 2016Article
- Imaging Approach to Diverticular Disease of the Small Bowel.Journal of computer assisted tomographyReview
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeSmall bowel (SB) diverticulosis is a rare disorder that may entail serious complications, including SB diverticulitis. Both are often missed in imaging. Magnetic resonance enterography/enteroclysis (MRE) is increasingly used to assess SB disease; awareness of the appearance of SB diverticulitis is essential to ensure appropriate management. Our aim was to systematically describe imaging characteristics of SB diverticulosis and diverticulitis in MRE.
methodsThis retrospective, HIPAA-compliant study identified 186 patients with suspected SB diverticulosis/diverticulitis in medical databases of two tertiary medical centres between 2005 and 2011. Patients with surgically confirmed diagnoses of SB diverticulosis/diverticulitis were included. Two observers analyzed MR images for the presence, location, number, and size of diverticula, wall thickness, and mural and extramural patterns of inflammation.
resultsSeven patients were recruited. MRI analysis showed multiple diverticula in all (100 %). Diverticular size ranged from 0.5 to 6 cm. Prevalence of diverticula was higher in the proximal than the distal SB (jejunum 86 %, ileum 57 %, distal ileum43%). Diverticulitis occurred in 3/7 patients (43 %) showing asymmetric bowel wall thickening and focal mesenteric inflammation.
conclusionSB diverticulitis demonstrates characteristic MRE imaging features to distinguish this rare disorder from more common diseases. Asymmetric, focal mesenteric and mural inflammation and presence of multiple diverticula are keys to diagnosis. KEY POINTS: • Small bowel diverticulosis and diverticulitis is rare and often missed in imaging • Acquired small bowel diverticula are variable in size and number • Small bowel diverticulitis demonstrates characteristic features on MR enterography/enteroclysis • A focal or segmental asymmetric small bowel inflammation should prompt the search for diverticula.
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