Pseudomembranous colitis revisited: spectrum of imaging findings

I Ramachandran1, R Sinha, P Rodgers

  • 1Department of Radiology, Leicester Royal Infirmary, University Hospitals of Leicester NHS Trust, Leicester LE1 5WW, UK.

Clinical Radiology
|June 21, 2006
PubMed

Insights

Pseudomembranous colitis (PMC) is rising in older adults. This review details PMC imaging findings across radiography, sonography, CT, scintigraphy, and MRI to aid diagnosis.

Area of Science:

  • Radiology
  • Gastroenterology
  • Medical Imaging

Background:

  • Pseudomembranous colitis (PMC) incidence is increasing, particularly in patients over 65.
  • PMC can lead to significant patient morbidity.

Purpose of the Study:

  • To review the diverse imaging features of PMC across multiple modalities.
  • To enhance radiologists' ability to diagnose PMC, differentiating it from other severe colitis conditions.

Main Methods:

  • Review of imaging findings for PMC using plain radiography.
  • Sonography, computed tomography (CT), scintigraphy, and magnetic resonance imaging (MRI) were analyzed.

Main Results:

  • The study outlines characteristic imaging findings for PMC across various diagnostic techniques.
  • Recognizing these imaging patterns is crucial for timely diagnosis and management.

Conclusions:

  • Awareness of PMC's imaging spectrum aids radiologists in primary or incidental diagnosis.
  • Urgent serological confirmation is recommended due to differential diagnoses requiring potential colectomy.

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