Diverticulitis MRI
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief:
Overview
On abdominal MRI, diverticulitis is characterized by thickening of the colon wall, the presence of the diverticula, and exudates from the colon. It may also show the presence of multiple abscesses. MRI is a good imaging modality that can be used in the diagnosis of diverticulitis since it has the advantage that it does not involve exposure to radiation and rules out other abdominal causes of acute abdomen. However, MRI is not the best diagnostic procedure for diverticulitis; CT scan is preferred.[1][2]
MRI
MRI shows the following findings in diverticulitis patients:[3][4]
- Wall thickness of the colon
- Presence of diverticula
- Exudates and edema out of the colon
- Abscesses
- Fatty infiltration in the colon
- Segmental narrowing of the colon
References
- ↑ Stollman NH, Raskin JB (1999). "Diagnosis and management of diverticular disease of the colon in adults. Ad Hoc Practice Parameters Committee of the American College of Gastroenterology". Am J Gastroenterol. 94 (11): 3110–21. doi:10.1111/j.1572-0241.1999.01501.x. PMID 10566700.
- ↑ McKee RF, Deignan RW, Krukowski ZH (1993). "Radiological investigation in acute diverticulitis". Br J Surg. 80 (5): 560–5. PMID 8518890.
- ↑ Heverhagen JT, Sitter H, Zielke A, Klose KJ (2008). "Prospective evaluation of the value of magnetic resonance imaging in suspected acute sigmoid diverticulitis". Dis Colon Rectum. 51 (12): 1810–5. doi:10.1007/s10350-008-9330-4. PMID 18443876.
- ↑ Heverhagen JT, Zielke A, Ishaque N, Bohrer T, El-Sheik M, Klose KJ (2001). "Acute colonic diverticulitis: visualization in magnetic resonance imaging". Magn Reson Imaging. 19 (10): 1275–7. PMID 11804754.