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Perspectivas radiológicas sobre la diverticulitis: manifestaciones clínicas, complicaciones y diagnóstico diferencial
Mehmet Simsar1, Yesim Y Yuruk2, Olgun Sahin1
1Department of Radiology, University of Health Sciences, Izmir City Hospital, Izmir 35540, Türkiye.
World journal of radiology
|September 3, 2025
Resumen
La diverticulitis, una infección intestinal, se diagnostica mediante imágenes como la tomografía computarizada (TC) debido a los riesgos de perforación con la endoscopia. La clasificación Sartelli ayuda en la estadificación de esta condición y sus complicaciones.
Área de la Ciencia:
- Gastroenterología
- Radiología
- Medicina de emergencia
Sus antecedentes:
- La diverticulitis implica una infección de los divertículos intestinales, que se presenta con dolor e inflamación.
- El diagnóstico preciso es crucial, especialmente en las fases agudas en las que la endoscopia está contraindicada debido al riesgo de perforación.
Objetivo del estudio:
- Para revisar los hallazgos radiológicos en la diverticulitis.
- Hacer hincapié en el papel de la tomografía computarizada (TC) en el diagnóstico, la estadificación y el manejo de complicaciones.
Principales métodos:
- Revisión de los hallazgos radiológicos en diverticulitis.
- Centrarse en las características de la tomografía computarizada (TC).
- Discusión del sistema de clasificación de Sartelli.
Principales resultados:
- La TC es crítica para diagnosticar la diverticulitis y diferenciarla de otras afecciones.
- La clasificación de Sartelli proporciona un sistema estandarizado de estadificación basado en imágenes.
- Las imágenes identifican complicaciones como abscesos y peritonitis.
Conclusiones:
- Las imágenes radiológicas, especialmente la TC, son esenciales para el diagnóstico y el tratamiento de la diverticulitis.
- La clasificación de Sartelli mejora la comprensión y la comunicación de la gravedad de la diverticulitis.
- Las imágenes ayudan a distinguir la diverticulitis de las imitaciones y a orientar el tratamiento.
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