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CT in acute perforated sigmoid diverticulitis.
Eur J Radiol. 2005 Oct; 56(1):78-83.EJ

Abstract

BACKGROUND

To assess the value of computed tomography (CT) in patients with acute perforated sigmoid diverticulitis in correlation with the Hinchey classification of perforated diverticular disease.

METHODS

Thirty patients with acute perforated sigmoid diverticulitis underwent computed tomography prior to surgery. Computed tomography scans were compared with the surgical and histopathological reports, utilizing the Hinchey classification.

RESULTS

In 28 of the 30 (93%) patients examined, the Hinchey stage was correctly determined by means of computed tomography. One patient with Hinchey stage IV was falsely classified as Hinchey stage III, and one patient with Hinchey stage III as Hinchey stage II. Computed tomography revealed 12 out of 14 (86%) patients with perforation sites and 3 out of 3 (100%) patients with contained perforation. In one of 17 (6%) patients with surgically or histopathologically proven perforation or contained perforation, a bowel wall discontinuity was revealed by computed tomography. In 6 of the 17 (35%) patients with surgical or histopathological perforation or contained perforation, extraluminal contrast material was detected by computed tomography.

CONCLUSIONS

Computed tomography is a valuable imaging tool for determining the degree of acute perforated sigmoid diverticulitis, by means of which patients can be stratified according to the severity of the disease; furthermore, this tool is of assistance in surgical planning.

Authors+Show Affiliations

Division of Diagnostic Radiology, Department of Radiology, University Hospital of Freiburg, Hugstetter Strasse 55, 79106 Freiburg, Germany. lohrmann@mrs1.ukl.uni-freiburg.deNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Evaluation Study
Journal Article

Language

eng

PubMed ID

16168267

Citation

Lohrmann, Christian, et al. "CT in Acute Perforated Sigmoid Diverticulitis." European Journal of Radiology, vol. 56, no. 1, 2005, pp. 78-83.
Lohrmann C, Ghanem N, Pache G, et al. CT in acute perforated sigmoid diverticulitis. Eur J Radiol. 2005;56(1):78-83.
Lohrmann, C., Ghanem, N., Pache, G., Makowiec, F., Kotter, E., & Langer, M. (2005). CT in acute perforated sigmoid diverticulitis. European Journal of Radiology, 56(1), 78-83.
Lohrmann C, et al. CT in Acute Perforated Sigmoid Diverticulitis. Eur J Radiol. 2005;56(1):78-83. PubMed PMID: 16168267.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - CT in acute perforated sigmoid diverticulitis. AU - Lohrmann,Christian, AU - Ghanem,Nadir, AU - Pache,Gregor, AU - Makowiec,Frank, AU - Kotter,Elmar, AU - Langer,Mathias, PY - 2004/10/21/received PY - 2005/02/15/revised PY - 2005/03/02/accepted PY - 2005/9/20/pubmed PY - 2006/2/25/medline PY - 2005/9/20/entrez SP - 78 EP - 83 JF - European journal of radiology JO - Eur J Radiol VL - 56 IS - 1 N2 - BACKGROUND: To assess the value of computed tomography (CT) in patients with acute perforated sigmoid diverticulitis in correlation with the Hinchey classification of perforated diverticular disease. METHODS: Thirty patients with acute perforated sigmoid diverticulitis underwent computed tomography prior to surgery. Computed tomography scans were compared with the surgical and histopathological reports, utilizing the Hinchey classification. RESULTS: In 28 of the 30 (93%) patients examined, the Hinchey stage was correctly determined by means of computed tomography. One patient with Hinchey stage IV was falsely classified as Hinchey stage III, and one patient with Hinchey stage III as Hinchey stage II. Computed tomography revealed 12 out of 14 (86%) patients with perforation sites and 3 out of 3 (100%) patients with contained perforation. In one of 17 (6%) patients with surgically or histopathologically proven perforation or contained perforation, a bowel wall discontinuity was revealed by computed tomography. In 6 of the 17 (35%) patients with surgical or histopathological perforation or contained perforation, extraluminal contrast material was detected by computed tomography. CONCLUSIONS: Computed tomography is a valuable imaging tool for determining the degree of acute perforated sigmoid diverticulitis, by means of which patients can be stratified according to the severity of the disease; furthermore, this tool is of assistance in surgical planning. SN - 0720-048X UR - https://www.unboundmedicine.com/medline/citation/16168267/CT_in_acute_perforated_sigmoid_diverticulitis_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0720-048X(05)00104-X DB - PRIME DP - Unbound Medicine ER -