The limited role of ultrasound in the diagnostic process of colonic diverticulitis.

Abstract:

BACKGROUND:Diverticulitis is commonly diagnosed using ultrasound (US), followed by computed tomography (CT). Our aim was to determine the diagnostic accuracy of US compared with CT for patients with uncomplicated and complicated diverticulitis. METHODS:We reviewed medical records of 232 patients admitted with diverticulitis via the emergency department between January 2009 and January 2011. Patients who had undergone US and a CT scan were identified and further analyzed. RESULTS:A total of 123 patients underwent an US and a CT scan. In 78/94 patients with uncomplicated diverticulitis, results of US and CT scan were compatible (83 %); in 6 of the remaining 29 patients both modalities showed a complicated diverticulitis (21 %). US misdiagnosed 17 % of patients with uncomplicated diverticulitis and 79 % with complicated diverticulitis. CONCLUSIONS:US is insufficient for diagnosing a complicated diverticulitis. Missing a complicated diverticulitis can have important clinical implications, and if diverticulitis is suspected, we suggest obtaining a CT scan to confirm diagnosis and to exclude complications.

journal_name

World J Surg

journal_title

World journal of surgery

authors

Nielsen K,Richir MC,Stolk TT,van der Ploeg T,Moormann GR,Wiarda BM,Schreurs WH

doi

10.1007/s00268-013-2423-9

subject

Has Abstract

pub_date

2014-07-01 00:00:00

pages

1814-8

issue

7

eissn

0364-2313

issn

1432-2323

journal_volume

38

pub_type

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