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Acute Ileal Diverticulitis: Computed Tomography and Ultrasound Findings
Background: Acute ileal diverticulitis is a rare disease mimicking acute appendicitis. Inaccurate diagnosis with a low prevalence and nonspecific symptoms leads to delayed or improper management. Methods: This retrospective study aimed to investigate the characteristic sonographic (US) and computed...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10137592/ https://www.ncbi.nlm.nih.gov/pubmed/37189509 http://dx.doi.org/10.3390/diagnostics13081408 |
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author | Kwon, Lyo Min Lee, Kwanseop Kim, Min-Jeong Lee, In Jae Kim, Gab Chul |
author_facet | Kwon, Lyo Min Lee, Kwanseop Kim, Min-Jeong Lee, In Jae Kim, Gab Chul |
author_sort | Kwon, Lyo Min |
collection | PubMed |
description | Background: Acute ileal diverticulitis is a rare disease mimicking acute appendicitis. Inaccurate diagnosis with a low prevalence and nonspecific symptoms leads to delayed or improper management. Methods: This retrospective study aimed to investigate the characteristic sonographic (US) and computed tomography (CT) findings with clinical features in seventeen patients with acute ileal diverticulitis diagnosed between March 2002 and August 2017. Results: The most common symptom was abdominal pain (82.3%, 14/17) localized to the right lower quadrant (RLQ) in 14 patients. The characteristic CT findings of acute ileal diverticulitis were ileal wall thickening (100%, 17/17), identification of inflamed diverticulum at the mesenteric side (94.1%, 16/17), and surrounding mesenteric fat infiltration (100%, 17/17). The typical US findings were outpouching diverticular sac connecting to the ileum (100%, 17/17), peridiverticular inflamed fat (100%, 17/17), ileal wall thickening with preserved layering pattern (94.1%, 16/17), and increased color flow to the diverticulum and surrounding inflamed fat on color Doppler imaging (100%, 17/17). The perforation group had a significantly longer hospital stay than non-perforation group (p = 0.002). In conclusion, acute ileal diverticulitis has characteristic CT and US findings that allow radiologists to accurately diagnose the disease. |
format | Online Article Text |
id | pubmed-10137592 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-101375922023-04-28 Acute Ileal Diverticulitis: Computed Tomography and Ultrasound Findings Kwon, Lyo Min Lee, Kwanseop Kim, Min-Jeong Lee, In Jae Kim, Gab Chul Diagnostics (Basel) Article Background: Acute ileal diverticulitis is a rare disease mimicking acute appendicitis. Inaccurate diagnosis with a low prevalence and nonspecific symptoms leads to delayed or improper management. Methods: This retrospective study aimed to investigate the characteristic sonographic (US) and computed tomography (CT) findings with clinical features in seventeen patients with acute ileal diverticulitis diagnosed between March 2002 and August 2017. Results: The most common symptom was abdominal pain (82.3%, 14/17) localized to the right lower quadrant (RLQ) in 14 patients. The characteristic CT findings of acute ileal diverticulitis were ileal wall thickening (100%, 17/17), identification of inflamed diverticulum at the mesenteric side (94.1%, 16/17), and surrounding mesenteric fat infiltration (100%, 17/17). The typical US findings were outpouching diverticular sac connecting to the ileum (100%, 17/17), peridiverticular inflamed fat (100%, 17/17), ileal wall thickening with preserved layering pattern (94.1%, 16/17), and increased color flow to the diverticulum and surrounding inflamed fat on color Doppler imaging (100%, 17/17). The perforation group had a significantly longer hospital stay than non-perforation group (p = 0.002). In conclusion, acute ileal diverticulitis has characteristic CT and US findings that allow radiologists to accurately diagnose the disease. MDPI 2023-04-13 /pmc/articles/PMC10137592/ /pubmed/37189509 http://dx.doi.org/10.3390/diagnostics13081408 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Kwon, Lyo Min Lee, Kwanseop Kim, Min-Jeong Lee, In Jae Kim, Gab Chul Acute Ileal Diverticulitis: Computed Tomography and Ultrasound Findings |
title | Acute Ileal Diverticulitis: Computed Tomography and Ultrasound Findings |
title_full | Acute Ileal Diverticulitis: Computed Tomography and Ultrasound Findings |
title_fullStr | Acute Ileal Diverticulitis: Computed Tomography and Ultrasound Findings |
title_full_unstemmed | Acute Ileal Diverticulitis: Computed Tomography and Ultrasound Findings |
title_short | Acute Ileal Diverticulitis: Computed Tomography and Ultrasound Findings |
title_sort | acute ileal diverticulitis: computed tomography and ultrasound findings |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10137592/ https://www.ncbi.nlm.nih.gov/pubmed/37189509 http://dx.doi.org/10.3390/diagnostics13081408 |
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