Diverticulitis: a comprehensive review with usual and unusual complications

ONUR M. R., AKPINAR E., KARAOSMANOĞLU A. D., Isayev C., KARÇAALTINCABA M.

INSIGHTS INTO IMAGING, vol.8, no.1, pp.19-27, 2017 (SCI-Expanded) identifier identifier

  • Publication Type: Article / Review
  • Volume: 8 Issue: 1
  • Publication Date: 2017
  • Doi Number: 10.1007/s13244-016-0532-3
  • Journal Name: INSIGHTS INTO IMAGING
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.19-27
  • Keywords: Diverticulitis, Complication, Pylephlebitis, Ultrasonography, Computed tomography, PERFORATED DIVERTICULITIS, COLONIC DIVERTICULITIS, COMPUTED-TOMOGRAPHY, PYLEPHLEBITIS, DIAGNOSIS, DISEASE, CT, APPENDAGITIS, MANAGEMENT, FISTULA
  • Hacettepe University Affiliated: Yes

Abstract

Diverticulitis is characterized by inflammation of the outpouchings of the bowel wall. Imaging findings of diverticulitis include edematous thickening of the bowel wall with inflammatory changes within the adjacent mesenteric fat. Uncomplicated diverticulitis can be treated conservatively; however, complicated diverticulitis may not be responsive to medical treatment and life-threatening conditions may occur. In this review, we aimed to illustrate the ultrasonography (US) and computed tomography (CT) features of diverticulitis and its complications including perforation, phlegmon, abscess, ascending septic thrombophlebitis (phylephlebitis), bleeding, intestinal obstruction, and fistula.