Computed tomography in the evaluation of diverticulitis.

作者: D H Hulnick , A J Megibow , E J Balthazar , D P Naidich , M A Bosniak

DOI: 10.1148/RADIOLOGY.152.2.6739821

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摘要: Computed tomography (CT) was performed in 43 cases of colonic diverticulitis and compared with the contrast-enema examination (CE) 37 patients. Findings on CT included inflammation pericolic fat 98% cases, diverticula 84%, thickening colon wall 70%, a abscess 35%, peritonitis 16%, fistula 14%, obstruction 12%, intramural sinus tracts 9%. Secondary findings distant 12% ureteral 7%. In addition to detecting bladder involvement formation, preferable for demonstrating extent inflammation, which underestimated CE 41% Differential diagnosis is discussed. The authors indicate that should be initial procedure patients suspected diverticulitis, particularly when contraindicated.

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