Generic placeholder image

Current Medical Imaging

Editor-in-Chief

ISSN (Print): 1573-4056
ISSN (Online): 1875-6603

Review Article

Computed Tomographic Evaluation of Colonic Diverticulum Complications

Author(s): Betül Tiryaki BaŞtuğ*

Volume 17, Issue 9, 2021

Published on: 20 January, 2021

Page: [1054 - 1058] Pages: 5

DOI: 10.2174/1573405617666210120091547

Price: $65

Abstract

Cases of diverticulosis of the colon continue to increase, especially in the Western countries. In these countries, two-thirds of the population older than 70 years of age are considered to experience this disease. Medical and surgical treatment for diverticulosis actually begun for the complications of diverticulitis and lower gastrointestinal hemorrhage. The first evaluation of complicated diverticular disease is based on patient’s history, physical examination, and laboratory data. But all these exams and data can be inaccurate and are often questionable in the diagnoses of many features of the disease. To describe the position, severity, and presence of complications of a detected diverticulum is crucial to its appropriate treatment. The greater part of the patients have mild disease and can be successfully cured medically. Only a small number of patients admit with acute diverticulitis and need urgent surgical intervention. Determining these patients early is crucial to morbidity and mortality reduction. Radiologic examination is important for exact evaluation of the extent of the course of the disease over the last three decades. This article aims to chart the place of the Computed Tomography (CT) imaging procedure in the assessment of acute complicated diverticular disease.

Keywords: Colonic diverticula, diverticulitis, complications, computed tomography, colon, gastrointestinal hemorrhage.

Graphical Abstract

[1]
Tiferes DA, Jayanthi SK, Liguori AAL. Cólon, reto e apêndice.D’Ippolito G, Caldana RP, editores Gastrointestinal Série CBR. 1st ed. Rio de Janeiro: Editora Sarvier 2011; pp. 203-52.
[2]
Brengman ML, Otchy DP. Timing of computed tomography in acute diverticulitis. Dis Colon Rectum 1998; 41(8): 1023-8.
[http://dx.doi.org/10.1007/BF02237394] [PMID: 9715160]
[3]
Rao PM, Rhea JT, Novelline RA, et al. Helical CT with only colonic contrast material for diagnosing diverticulitis: prospective evaluation of 150 patients. AJR Am J Roentgenol 1998; 170(6): 1445-9.
[http://dx.doi.org/10.2214/ajr.170.6.9609151] [PMID: 9609151]
[4]
Cho KC, Morehouse HT, Alterman DD, Thornhill BA. Sigmoid diverticulitis: diagnostic role of CT--comparison with barium enema studies. Radiology 1990; 176(1): 111-5.
[http://dx.doi.org/10.1148/radiology.176.1.2191360] [PMID: 2191360]
[5]
Birnbaum BA, Jeffrey RB Jr. CT and sonographic evaluation of acute right lower quadrant abdominal pain. AJR Am J Roentgenol 1998; 170(2): 361-71.
[http://dx.doi.org/10.2214/ajr.170.2.9456947] [PMID: 9456947]
[6]
Horton KM, Corl FM, Fishman EK. CT evaluation of the colon: inflammatory disease. Radiographics 2000; 20(2): 399-418.
[http://dx.doi.org/10.1148/radiographics.20.2.g00mc15399] [PMID: 10715339]
[7]
Kircher MF, Rhea JT, Kihiczak D, Novelline RA. Frequency, sensitivity, and specificity of individual signs of diverticulitis on thin- section helical CT with colonic contrast material: experience with 312 cases. AJR Am J Roentgenol 2002; 178(6): 1313-8.
[http://dx.doi.org/10.2214/ajr.178.6.1781313] [PMID: 12034590]
[8]
Pradel JA, Adell JF, Taourel P, Djafari M, Monnin-Delhom E, Bruel JM. Acute colonic diverticulitis: prospective comparative evaluation with US and CT. Radiology 1997; 205(2): 503-12.
[http://dx.doi.org/10.1148/radiology.205.2.9356636] [PMID: 9356636]
[9]
Balthazar E. Diverticular disease. Textbook of Gastrointestinal Radiology. Philadelphia, PA: Saunders 1994; pp. 1072-97.
[10]
Birnbaum BA, Balthazar EJ. CT of appendicitis and diverticulitis. Radiol Clin North Am 1994; 32(5): 885-98.
[PMID: 8085002]
[11]
Goldman SM, Fishman EK, Gatewood OMB, Jones B, Brendler C, Siegelman SS. CT demonstration of colovesical fistulae secondary to diverticulitis. J Comput Assist Tomogr 1984; 8(3): 462-8.
[http://dx.doi.org/10.1097/00004728-198406000-00019] [PMID: 6725693]
[12]
White TB, Allen HA III, Ives CE. Portal and mesenteric vein gas in diverticulitis: CT findings. AJR Am J Roentgenol 1998; 171(2): 525-6.
[http://dx.doi.org/10.2214/ajr.171.2.9694494] [PMID: 9694494]
[13]
Hulnick DH, Megibow AJ, Balthazar EJ, Naidich DP, Bosniak MA. Computed tomography in the evaluation of diverticulitis. Radiology 1984; 152(2): 491-5.
[http://dx.doi.org/10.1148/radiology.152.2.6739821] [PMID: 6739821]
[14]
Chintapalli KN, Chopra S, Ghiatas AA, Esola CC, Fields SF, Dodd GD III. Diverticulitis versus colon cancer: differentiation with helical CT findings. Radiology 1999; 210(2): 429-35.
[http://dx.doi.org/10.1148/radiology.210.2.r99fe48429] [PMID: 10207426]
[15]
Padidar AM, Jeffrey RB Jr, Mindelzun RE, Dolph JF. Differentiating sigmoid diverticulitis from carcinoma on CT scans: mesenteric inflammation suggests diverticulitis. AJR Am J Roentgenol 1994; 163(1): 81-3.
[http://dx.doi.org/10.2214/ajr.163.1.8010253] [PMID: 8010253]

Rights & Permissions Print Cite
© 2024 Bentham Science Publishers | Privacy Policy