The accordion sign at CT: a nonspecific finding in patients with colonic edema.

Abstract:

PURPOSE:To determine whether the "accordion sign" is a specific computed tomographic (CT) sign of Clostridium difficile colitis. MATERIALS AND METHODS:Fifty-seven patients with CT evidence of severe colitis, as judged by colonic wall thickening, an abnormal haustral pattern, the target sign, and stranding of the pericolic fat, were identified from a computerized CT database for 25 months. CT images were retrospectively evaluated for the presence of oral contrast material in the colon and for the accordion sign. The medical and laboratory records of all patients were reviewed and correlated with CT findings to establish the cause of colitis. RESULTS:Oral contrast material had reached the colon in 35 of 57 patients at the time of the CT examination. The images in 15 of these patients demonstrated the accordion sign, and those in 20 patients did not. C difficile colitis was documented in four of the 15 cases displaying the accordion sign. In the remaining 11 patients, a different cause was documented. Oral contrast material had not reached the colon in the remaining 22 patients. Within this group with findings similar to the accordion sign, five patients had documented C difficile colitis, and four had colitis from other causes. CONCLUSION:The accordion sign is indicative of severe colonic edema or inflammation, but it is not specific for C difficile colitis.

journal_name

Radiology

journal_title

Radiology

authors

Macari M,Balthazar EJ,Megibow AJ

doi

10.1148/radiology.211.3.r99jn32743

subject

Has Abstract

pub_date

1999-06-01 00:00:00

pages

743-6

issue

3

eissn

0033-8419

issn

1527-1315

journal_volume

211

pub_type

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