Stercoral colitis: diagnostic value of CT findings.

IF 2.1 4区医学 Q2 Medicine

Diagnostic and Interventional Radiology Pub Date : 2017-01-01 DOI:10.5152/dir.2016.16002

E. Ünal, M. Onur, S. Balci, Ayşegül Görmez, E. Akpınar, M. Böge

引用次数: 26

Abstract

PURPOSE We aimed to evaluate the CT findings of stercoral colitis (SC). METHODS Forty-one patients diagnosed with SC between February 2006 and April 2015 were retrospectively reviewed. RESULTS Rectosigmoid colon was the most frequently involved segment (100%, n=41). CT findings can be summarized as follows: dilatation >6 cm and wall thickening >3 mm of the affected colon segment (100%, n=41), pericolonic fat stranding (100%, n=41), mucosal discontinuity (14.6 %, n=6), presence of free air (14.6%, n=6), free fluid (9.7%, n=4), and pericolonic abscess (2.4%, n=1). The sign most related with mortality was the length of the affected colon segment >40 cm. CONCLUSION CT has an important role in SC, since life-threatening complications can be easily revealed by this imaging modality. Increased length of involved colon segment (>40 cm) is more likely to be associated with mortality.

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后珊瑚结肠炎的CT诊断价值。

目的探讨后珊瑚结肠炎(SC)的CT表现。方法对2006年2月至2015年4月诊断为SC的41例患者进行回顾性分析。结果直肠乙状结肠是最常见的受累节段(100%，n=41)。CT表现如下:受累结肠段扩张> 6cm，壁增厚> 3mm (100%， n=41)，结肠周围脂肪搁浅(100%，n=41)，粘膜不连续(14.6%，n=6)，存在游离空气(14.6%，n=6)，游离液体(9.7%，n=4)，结肠周围脓肿(2.4%，n=1)。与死亡率最相关的征象是受累结肠段长度bbb40cm。结论ct在SC中具有重要作用，因为这种成像方式可以很容易地发现危及生命的并发症。受累结肠段长度增加(bbb40 cm)更可能与死亡率相关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Diagnostic and Interventional Radiology 医学-核医学

CiteScore

3.50

自引率

4.80%

发文量

审稿时长

6-12 weeks

期刊介绍： Diagnostic and Interventional Radiology (Diagn Interv Radiol) is the open access, online-only official publication of Turkish Society of Radiology. It is published bimonthly and the journal’s publication language is English. The journal is a medium for original articles, reviews, pictorial essays, technical notes related to all fields of diagnostic and interventional radiology.