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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.
Abstract:
In recent years there has been a marked increase in the incidence of pseudomembranous colitis (PMC). PMC is more common in patients over 65 years of age and can cause significant morbidity. The purpose of this article is to review the imaging features of PMC on plain radiography, sonography, computed tomography (CT), scintigraphy and magnetic resonance imaging (MRI). It is important to recognize the imaging findings of PMC using different imaging methods and encourage urgent confirmation of the diagnosis serologically, as the differential includes other fulminant colitides for which colectomy may be the required. Awareness of the spectrum of imaging findings of PMC can help radiologists make the primary or incidental diagnosis of PMC.
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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