Diverticulitis: an evaluation by computed tomography and contrast enema.
The role of a contrast enema and computed tomography (CT) was evaluated in 228 patients with a discharge diagnosis of acute diverticulitis. Forty-nine percent of these patients eventually required surgery. In the surgical group, 90% of contrast enemas and 69% of CT examinations reported either diverticulitis or findings compatible with diverticulitis. In patients treated medically, the negative results were higher with both modalities, although it is believed that a number of these patients were misdiagnosed. The contrast enema and CT influenced the decision for surgery in 17% and 6%, respectively, in patients undergoing these examinations.
Department of Radiology, University of Rochester Medical Center, New York.
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D
Shrier
J
J
Skucas
S
S
Weiss
D000368:Aged; D001466:Barium Sulfate; D004238:Diverticulitis / Q000000981:diagnostic imaging* / Q000601:surgery; D004733:Enema; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed
D001466:Barium Sulfate