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Published on: July 12, 2018
Chronic diverticulitis: clinical, radiographic, and pathologic findings
Laura Sheiman1, Marc S Levine, Alicia A Levin
1Department of Radiology, Hospital of the University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104, USA.
AJR. American Journal of Roentgenology
|July 24, 2008
Summary
Chronic diverticulitis presents distinct symptoms and barium enema findings, differing from acute diverticulitis. Radiographic and clinical correlations aid in diagnosing this condition.
Area of Science:
- Gastroenterology
- Radiology
- Pathology
Background:
- Diverticulitis is a common condition affecting the colon.
- Chronic diverticulitis is a less understood variant with distinct clinical and radiographic features.
Purpose of the Study:
- To present barium enema findings in 14 patients with chronic diverticulitis.
- To correlate radiographic, clinical, and pathological findings in chronic diverticulitis.
Main Methods:
- Retrospective review of 14 patients diagnosed with chronic diverticulitis.
- Analysis of barium enema examinations.
- Correlation with clinical presentation and pathological data.
Main Results:
- Chronic diverticulitis is characterized by chronic obstructive symptoms and abdominal pain.
- Barium enemas typically show long, circumferential sigmoid narrowing with spiculated contours and tapered margins.
- Retrograde obstruction may be observed.
Conclusions:
- Chronic diverticulitis is a distinct pathological entity.
- Characteristic clinical and radiographic findings aid in diagnosis.
- Barium enema is a valuable tool for identifying chronic diverticulitis.
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