Diverticulitis CT: Difference between revisions
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==References== | ==References== | ||
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[[Category:Digestive diseases]] | |||
[[Category:Surgery]] | |||
[[Category:Abdominal pain]] | |||
[[Category:Hematology]] | |||
[[Category:Gastroenterology]] | |||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
Revision as of 17:33, 3 June 2013
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Diverticulitis Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Diverticulitis CT On the Web |
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American Roentgen Ray Society Images of Diverticulitis CT |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Cafer Zorkun, M.D., Ph.D. [2]
Overview
The CT scan is very sensitive (98%) in diagnosing diverticulitis. It may also identify patients with more complicated diverticulitis, such as those with an associated abscess. CT also allows for radiologically guided drainage of associated abscesses, possibly sparing a patient from immediate surgical intervention.
Computed Tomography
- Colonic and paracolic inflammation in the presence of underlying diverticula (diverticula are identified on CT scans as outpouchings of the colonic wall).
- Symmetric thickening of the colonic of approximately 4-5 mm is common.
- Enhancement of the colonic wall is commonly noted. This usually has inner and outer high-attenuation layers, with a thick middle layer of low attenuation.
- Free diverticular perforation results in the extravasation of air and fluid into the pelvis and peritoneal cavity.
- Air in the bladder in the presence of a nearby segment of diverticulitis is suggestive of a colovesical fistula.
