Images in Emergency
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https://doi.org/10.4081/ecj.2025.14621

A rare trouble in the small bowel

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Received: 3 November 2025
Accepted: 15 November 2025
Published: 18 December 2025
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Jejunal diverticulitis, diverticula, small bowel, abdominal pain, computed tomography, abdominal surgery

Authors

Massimo Barakat
massimo.barakat@gmail.com
https://orcid.org/0009-0002-4851-9955
Pediatric and Adult CardioThoracic and Vascular, Oncohematologic and Emergency Radiology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Mario Capone
Department of Medical and Surgical Sciences (DIMEC), University of Bologna, Bologna, Italy.
Ludovica Lotrecchiano
Pediatric and Adult CardioThoracic and Vascular, Oncohematologic and Emergency Radiology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.

A 69-year-old woman presented to the emergency department with acute lower abdominal pain, peritonism and fever (body temperature 38.5 °C). Her past medical history was unremarkable. Laboratory tests revealed an increase of white blood cells (18.17 x 109/L; normal values 3.6-10.5 x 109/L), neutrophils (16.05 x 109/L; normal values 1.5-7.7 x 109/L), C-reactive protein (31.79 mg/dL; normal values < 0.5 mg/dL) and lactate dehydrogenase (315 U/L; normal values < 248 U/L) levels. Abdominal contrast-enhanced computed tomography (CT) scan showed a large outpouching filled by fecaloid material on the mesenteric side of a jejunal loop in the left lumbar region with stranding of adjacent fat (red arrow).

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A rare trouble in the small bowel. (2025). Emergency Care Journal. https://doi.org/10.4081/ecj.2025.14621
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