Brambs H J
Radiologische Universitätsklinik, Tübingen.
Schweiz Rundsch Med Prax. 1992 Jun 23;81(26):859-60.
In patients with suspected acute diverticulitis, plain abdominal radiographs may demonstrate free gas in the abdomen. Ultrasound can indicate the nature of disease but is not sufficient to assess the extent of the inflammation. If perforation is suspected, a water-soluble contrast agent should be used to demonstrate diverticulitis and peridiverticular abscess. Computed tomography is ideally suited for the evaluation of the disease. it permits the radiologist to tell the clinician the exact extent of the extramucosal inflammation and the involvement of adjacent organs and structures.
对于疑似急性憩室炎的患者，腹部平片可能显示腹腔内有游离气体。超声可提示疾病的性质，但不足以评估炎症的范围。如果怀疑有穿孔，应使用水溶性造影剂来显示憩室炎和憩室周围脓肿。计算机断层扫描非常适合评估该疾病。它能让放射科医生告知临床医生黏膜外炎症的确切范围以及相邻器官和结构的受累情况。
