Raval B, Lamki N, St Ville E
J Comput Tomogr. 1987 Apr;11(2):144-50. doi: 10.1016/0149-936x(87)90007-5.
Fourteen patients with diverticulitis who were clinically believed to require radiologic investigation form the basis of this report. An inflammatory mass (n = 10) or abscess (n = 2) were reliable findings on computed tomography. Other signs encountered were abnormal density of pericolic fat, thickening of colonic wall, and narrowing of the lumen of the colonic wall. Colovesical fistulas, all of which were suspected clinically, occurred in three patients. Computed tomography should be performed with administration of rectal contrast medium to demonstrate the origin of inflammation from the colon, assess pericolic extent, and confirm colovesical fistula.
本报告基于14例临床诊断为憩室炎且被认为需要进行放射学检查的患者。计算机断层扫描的可靠表现为炎性肿块（n = 10）或脓肿（n = 2）。其他表现包括结肠周围脂肪密度异常、结肠壁增厚以及结肠壁管腔狭窄。3例患者临床上均怀疑存在结肠膀胱瘘。应在直肠注入造影剂的情况下进行计算机断层扫描，以显示炎症源自结肠的部位、评估结肠周围的范围并确认结肠膀胱瘘。
