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[The computed tomography of acute sigmoid diverticulitis].
Rofo. 1996 Feb; 164(2):102-7.ROFO

Abstract

PURPOSE

To study the ranking of CT in the diagnosis of sigma diverticulitis. Comparison of results of the colon monocontrast enema with those obtained via CT and histopathology as gold standard.

MATERIAL AND METHODS

32 patients were included who were operated on for sigma diverticulitis. In 30 patients both CT and monocontrast enema were performed and in two patients CT only.

RESULTS

Acute inflammatory wall alterations are identified by CT with a sensitivity of 89.7% vs 96.3% via contrast enema. Pericolic reactions of the environment were seen via CT with 89.7% sensitivity. In case of covered perforations CT yielded a sensitivity of 76.5% vs 46.7% via contrast enema. Sensitivity for abscesses and fistulas was in each case 100% with CT.

RESULTS

CT may help to identify extraluminal inflammatory changes and complications in diverticulitis. The degree of the inflammation can be classified and the surgical approach suitably influenced, respectively modified.

Authors+Show Affiliations

Strahlenabteilung, Klinikum Landshut.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

ger

PubMed ID

8679970

Citation

Ernst, S, et al. "[The Computed Tomography of Acute Sigmoid Diverticulitis]." RoFo : Fortschritte Auf Dem Gebiete Der Rontgenstrahlen Und Der Nuklearmedizin, vol. 164, no. 2, 1996, pp. 102-7.
Ernst S, Wypior HJ, Stark V, et al. [The computed tomography of acute sigmoid diverticulitis]. Rofo. 1996;164(2):102-7.
Ernst, S., Wypior, H. J., Stark, V., & Rath, M. (1996). [The computed tomography of acute sigmoid diverticulitis]. RoFo : Fortschritte Auf Dem Gebiete Der Rontgenstrahlen Und Der Nuklearmedizin, 164(2), 102-7.
Ernst S, et al. [The Computed Tomography of Acute Sigmoid Diverticulitis]. Rofo. 1996;164(2):102-7. PubMed PMID: 8679970.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [The computed tomography of acute sigmoid diverticulitis]. AU - Ernst,S, AU - Wypior,H J, AU - Stark,V, AU - Rath,M, PY - 1996/2/1/pubmed PY - 1996/2/1/medline PY - 1996/2/1/entrez SP - 102 EP - 7 JF - RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin JO - Rofo VL - 164 IS - 2 N2 - PURPOSE: To study the ranking of CT in the diagnosis of sigma diverticulitis. Comparison of results of the colon monocontrast enema with those obtained via CT and histopathology as gold standard. MATERIAL AND METHODS: 32 patients were included who were operated on for sigma diverticulitis. In 30 patients both CT and monocontrast enema were performed and in two patients CT only. RESULTS: Acute inflammatory wall alterations are identified by CT with a sensitivity of 89.7% vs 96.3% via contrast enema. Pericolic reactions of the environment were seen via CT with 89.7% sensitivity. In case of covered perforations CT yielded a sensitivity of 76.5% vs 46.7% via contrast enema. Sensitivity for abscesses and fistulas was in each case 100% with CT. RESULTS: CT may help to identify extraluminal inflammatory changes and complications in diverticulitis. The degree of the inflammation can be classified and the surgical approach suitably influenced, respectively modified. SN - 1438-9029 UR - https://www.unboundmedicine.com/medline/citation/8679970/[The_computed_tomography_of_acute_sigmoid_diverticulitis]_ L2 - http://www.thieme-connect.com/DOI/DOI?10.1055/s-2007-1015620 DB - PRIME DP - Unbound Medicine ER -