Abstract
The purpose of this study is to review the computed tomography (CT) appearance of
infectious and inflammatory diseases, and neoplasms of colon. Forty-five patients
with 25 cases of colonic neoplasms and 20 cases of inflammatory and infectious diseases
of colon were evaluated based on CT findings of colonic wall thickening (>5 mm, soft
tissue density versus pure wall edema or both), length of the involved segment (short
(⩽5 cm) versus long segment), pericolic infiltration, mesenteric infiltration, lateroconal
fascial thickening, mechanical ileus, ascites, contiguous terminal ileum involvement,
distribution of the diseased colon, and abscess formation. The results were compared
using chi-square test or Fisher’s exact test. Our results showed that colonic wall
thickening of soft tissue density with or without edema and pure bowel wall edema
were the two statistically significant findings in differential diagnosis of colon
(p < 0.05). We concluded that CT is a good imaging tool to make differential diagnosis
between infectious/inflammatory diseases and neoplasms.
Keywords
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References
- Acute appendicitis.Radiology. 1994; 190: 31-35
- Sigmoid diverticulitis.Radiology. 1990; 176: 111-115
- CT of the gastrointestinal tract.AJR. 1991; 156: 23-32
- Carcinoma of the colon.AJR. 1988; 150: 301-306
- Abnormal colonic wall thickening on computed tomography.J Comput Assist Tomogr. 1983; 7: 90-97
- Appendicitis.Radiology. 1991; 180: 21-24
- Diagnosis of acute appendicitis.AJR. 1993; 160: 763-766
- Colitis.Radiology. 1994; 190: 445-449
- Crohn disease.Radiology. 1988; 167: 331-334
- CT features of ulcerative colitis and Crohn’s disease.AJR. 1996; 167: 3-15
- CT appearance of antibiotic-induced colitis.Gastrointest Radiol. 1987; 12: 257-261
- Pseudomembranous colitis.Radiology. 1991; 180: 57-60
- Differentiating sigmoid diverticulitis from carcinoma on CT scans.AJR. 1994; 163: 81-83
- Preoperative and postoperative CT staging of rectosigmoid carcinoma.AJR. 1986; 146: 703-710
- Colorectal carcinoma evaluation with CT.Radiology. 1986; 158: 347-353
- Computed tomography of colon carcinoma.AJR. 1980; 135: 43-46
- CT of appendicitis.Radio Clin North Am. 1989; 27: 753-762
- Embryology of Digestive System. Langman’s Medical Embryology. 6. Williams & Wilkins, Baltimore1990 (pp. 250)
Article info
Publication history
Accepted:
May 20,
1997
Received:
March 15,
1997
Identification
Copyright
© 1998 Elsevier Science Inc. Published by Elsevier Inc. All rights reserved.
