Toxic megacolon CT

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Farima Kahe M.D. [2]

Overview

Abdominal CT scan may be helpful in the diagnosis of toxic megacolon. Findings on CT scan diagnostic of toxic megacolon include dilated transverse colon, loss of colonic haustrations, segmental parietal thinning,Intraluminal soft-tissue masses.

CT scan

CT scan showing toxic megacolon source:Case courtesy of Dr Sinéad Culleton, Radiopedia


References

  1. Moulin V, Dellon P, Laurent O, Aubry S, Lubrano J, Delabrousse E (2011). "Toxic megacolon in patients with severe acute colitis: computed tomographic features". Clin Imaging. 35 (6): 431–6. doi:10.1016/j.clinimag.2011.01.012. PMID 22040786.
  2. Imbriaco M, Balthazar EJ (2001). "Toxic megacolon: role of CT in evaluation and detection of complications". Clin Imaging. 25 (5): 349–54. PMID 11682295.
  3. Sayedy, Leena (2010). "Toxic megacolon associatedClostridium difficilecolitis". World Journal of Gastrointestinal Endoscopy. 2 (8): 293. doi:10.4253/wjge.v2.i8.293. ISSN 1948-5190.
  4. Rosenberg M (1976). "Toxic megacolon". West. J. Med. 124 (2): 122–7. PMC 1130453. PMID 1246881.
  5. 5.0 5.1 Mukai JK, Janower ML (1987). "Diagnosis of pseudomembranous colitis by computed tomography: a report of two patients". Can Assoc Radiol J. 38 (1): 62–3. PMID 2953743.
  6. Arienti V, Campieri M, Boriani L, Gionchetti P, Califano C, Giancane S, Furno A, Gasbarrini G (1996). "Management of severe ulcerative colitis with the help of high resolution ultrasonography". Am. J. Gastroenterol. 91 (10): 2163–9. PMID 8855741.

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