Ben Yaacoub Ismahen, Boulay-Coletta Isabelle, Jullès Marie Christine, Zins Marc
Radiology Department, Groupe Hospitalier Paris Saint Joseph, 185 rue Raymond Losserand, 75674 Paris Cedex 14, France.
Insights Imaging. 2011 Feb;2(1):69-84. doi: 10.1007/s13244-010-0051-6. Epub 2010 Dec 2.
Colonic diverticulitis (CD) is a common entity whose diagnosis is particularly based on computed tomography (CT) examination, which is the imaging technique of choice. However, unusual CT findings of CD may lead to several difficulties and potential pitfalls: due to technical errors in the management of the CT examination, due to the anatomical situation of the diseased colon, in diagnosing unusual complications that may concern the gastrointestinal tract, intra- and retroperitoneal viscera or the abdominal wall, and in differentiating CD from other abdominal inflammatory and infectious conditions or colonic cancer. The aim of this work is to delineate the pitfalls of CT imaging and illustrate misleading CT features in patients with suspected CD.
结肠憩室炎(CD)是一种常见疾病,其诊断特别依赖于计算机断层扫描(CT)检查,CT检查是首选的成像技术。然而,CD不常见的CT表现可能会导致一些困难和潜在陷阱:这可能是由于CT检查管理中的技术错误、患病结肠的解剖位置、在诊断可能涉及胃肠道、腹腔内和腹膜后脏器或腹壁的不常见并发症时,以及在鉴别CD与其他腹部炎症和感染性疾病或结肠癌时。这项工作的目的是描述CT成像的陷阱,并说明疑似CD患者中具有误导性的CT特征。