Article Sidebar
Views PDF: 556
The computed tomography scan characteristics of colonic diverticulitis
Main Article Content
Abstract
SUMMARY
Purpose: Describe the computed tomography (CT) scan characteristics of colonic diverticulitis (CD). Classification of colonic diverticulitis the World Emergency Surgery Society (WSES), and
to compare computed tomography findings of right vs. left colonic diverticulitis.
Methods: Retrospective studies described case series of patients diagnosed Colonic Diverticulitis at University Medical Center hospital and there was CT scan between January and December 2018. Clinical features, treatmentwere collected and assess the characteristics CT scan of Colonic diverticulitis
Results: There were 104 patients, 75 right CD and 29 left CD. Mean age 46, ratio male/female 1,6. Inflamed diverticulum 89,4%; pericolic air bubbles19,2%; pericolic fluid 51,9%; abscess 1,7%; fistula 1,9%; bowel obstruction 1%. The classification of acute diverticulitis by the WSES, uncomplicated acute diverticulitis and complicated acute diverticulitisstage 1a, 1b, 2 a, 2b respectively of 48% and 39,2%; 6,9%;
4,9%; 1%. None of the complicated diverticulitis stage 3,4. Compare CT findings of right vs. left CD: Mean age (41 vs. 61), inflamed diverticulum
(96% vs. 72,4%), pericolic air bubbles(8% vs. 48,3%), pericolic fluid (45,3% vs. 69%), abscess(4% vs. 31%), they differed significantly between the two groups (P < 0,05).
Conclusions: Diverticulitis is often right-sided, mild in severity. Most are uncomplicate and complicated diverticulitis stage 1a by the classification of WSES. Right CD occurs in younger and lower complications compared to left CD
Article Details
Keywords
Colonic diverticulitis, pericolic air,, abscess, computed tomography findings, WSES
References
1. Chung B. H., Ha G. W., Lee M. R., et al (2016), “Management of Colonic Diverticulitis Tailored to Location and Severity: Comparison of the Right and the Left Colon”,Annals of Coloproctology, 32 (6), 228-233.
2. Dickerson E. C., Suzanne T. C., James H. E., et al (2017), “Recurrence of Colonic Diverticulitis: Identifying Predictive CT Findings—Retrospective Cohort Study”,Radiology, 285 (3), 850-858.
3. Kircher M. F., Rhea J. T., Kihiczak D., et al (2002), “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, 178 (6), 1313-8.
4. Lê Huy Lưu, Võ Thị Hồng Yến, Đỗ Thị Thu Phương, và cs (2017), “Hướng tới một phác đồ xử trí viêm túi thừa đại tràng phải”,Y học Thành phố Hồ Chí Minh, 21 (2), 91-98.
5. Lohsiriwat V., Suthikeeree W. (2013), “Pattern and distribution of colonic diverticulosis: Analysis of 2877 barium enemas in Thailand”,World Journal of Gastroenterology : WJG, 19 (46), 8709-8713.
6. Manabe N., Haruma K., Nakajima A., et al (2015), “Characteristics of Colonic Diverticulitis and Factors
Associated With Complications: A Japanese Multicenter, Retrospective, Cross-Sectional Study”,Dis Colon Rectum, 58 (12), 1174-81.
7. Padidar A. M., Jeffrey R. B., Jr., Mindelzun R. E., et al (1994), “Differentiating sigmoid diverticulitis from carcinoma on CT scans: mesenteric inflammation suggests diverticulitis”,AJR Am J Roentgenol, 163 (1), 81-3.
8. Sartelli M., Catena F., Ansaloni L., et al (2016), “WSES Guidelines for the management of acute left sided colonic diverticulitis in the emergency setting”,World J Emerg Surg, 11, 37.
9. Schneider L. V., Millet I., Boulay-Coletta I., et al (2016), “Right colonic diverticulitis in Caucasians: presentation and outcomes versus left-sided disease”,Abdom Radiol (NY).