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[Computed tomography of colonic diverticulitis].

E Doringer1, R Ferner

  • 1Zentralröntgeninstitut der Landeskrankenanstalten Salzburg.

Rofo : Fortschritte Auf Dem Gebiete Der Rontgenstrahlen Und Der Nuklearmedizin
|January 1, 1990
PubMed
Summary

Computed tomography (CT) effectively diagnoses mild colon diverticulitis. This imaging technique reliably identifies key signs like thickened colonic walls and inflamed tissues, aiding in accurate clinical assessment.

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Area of Science:

  • Radiology
  • Gastroenterology

Background:

  • Diverticulitis of the colon is a common condition requiring accurate diagnosis.
  • Assessing less severe forms of diverticulitis can be challenging with traditional methods.

Purpose of the Study:

  • To prospectively evaluate the diagnostic value of computed tomography (CT) in clinically suspected colon diverticulitis.
  • To assess the predictive value of specific CT findings in diverticulitis.

Main Methods:

  • Prospective study of 33 patients with clinically suspected colon diverticulitis.
  • CT examinations analyzed for colonic wall thickening, pericolic fat inflammation, diverticula presence, and abscess formation.
  • CT results compared with contrast enemas and/or endoscopy.

Main Results:

  • CT demonstrated high sensitivity (95.2%) and specificity (75.0%) for diagnosing diverticulitis.
  • Specific CT findings showed high predictive values: abscess formation (100%), inflammatory changes (87.5%), and wall thickening (86.6%).
  • CT proved reliable in identifying less severe cases of colonic diverticulitis.

Conclusions:

  • Computed tomography is a reliable imaging modality for diagnosing colon diverticulitis, including milder presentations.
  • CT findings offer significant predictive value for diverticulitis diagnosis.
  • CT provides a more reliable assessment compared to contrast enemas or endoscopy in this study cohort.

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