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Related Experiment Videos

Diverticulitis: an evaluation by computed tomography and contrast enema.

D Shrier1, J Skucas, S Weiss

  • 1Department of Radiology, University of Rochester Medical Center, New York.

The American Journal of Gastroenterology
|October 1, 1991
PubMed
Summary

Contrast enema and computed tomography (CT) are valuable for diagnosing acute diverticulitis. CT showed a higher accuracy in identifying diverticulitis in patients requiring surgery.

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Area of Science:

  • Radiology
  • Gastroenterology
  • Surgical Diagnostics

Background:

  • Acute diverticulitis is a common condition requiring accurate diagnosis.
  • Imaging plays a crucial role in differentiating surgical and medical management.

Purpose of the Study:

  • To evaluate the diagnostic accuracy of contrast enema and computed tomography (CT) in acute diverticulitis.
  • To assess the impact of these imaging modalities on surgical decision-making.

Main Methods:

  • Retrospective analysis of 228 patients with acute diverticulitis.
  • Comparison of contrast enema and CT findings with surgical outcomes.
  • Assessment of imaging influence on treatment decisions.

Main Results:

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  • Contrast enema and CT were performed in 228 patients, with 49% requiring surgery.
  • In the surgical group, contrast enema detected diverticulitis in 90% and CT in 69%.
  • Imaging influenced surgical decisions in 17% (contrast enema) and 6% (CT).

    • Conclusions:

    • Both contrast enema and CT are effective in diagnosing acute diverticulitis.
    • Contrast enema demonstrated higher sensitivity in the surgical cohort.
    • Imaging modalities guide management but require careful interpretation, especially in medically treated patients.