Diverticulitis x ray: Difference between revisions
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===Chest X ray=== | ===Chest X ray=== | ||
*In small percentage (about 27-33%) of the acute abdomen patients, including diverticulitis, they may have a respiratory abnormality. Hence, chest x ray is recommended in patients suspected with diverticulitis. | |||
*Chest X ray in cases of diverticulitis could show pneumoperitoneum which is a complication of the abdominal obstruction that is one of the diverticulitis manifestation. Discovering this abnormality will lead to change of the case manangement and the chest X ray is the best radio-modality which can show the pneumoperitoneum.<ref name="pmid3924315">{{cite journal| author=Field S, Guy PJ, Upsdell SM, Scourfield AE| title=The erect abdominal radiograph in the acute abdomen: should its routine use be abandoned? | journal=Br Med J (Clin Res Ed) | year= 1985 | volume= 290 | issue= 6486 | pages= 1934-6 | pmid=3924315 | doi= | pmc=1416036 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=3924315 }} </ref> | |||
==References== | ==References== | ||
Revision as of 16:37, 9 June 2017
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Diverticulitis x ray On the Web |
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American Roentgen Ray Society Images of Diverticulitis x ray |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief:
Overview
X Ray
Barium enema
- X-ray barium enema is not the first diagnostic procedure to diagnose acute diverticulitis. However, it may be useful in case the CT scan is not available.[1]
- Barium enema was being used in diagnosis of acute diverticulitis but it was not the best procedure to diagnose the disease. Enema has many disadvantages which include:[2]
- Enema rupture
- This rupture may cause cellulitis and peritonitis.
- If failed, it will lead to the delay of the other imaging procedures like CT scan, endoscopy and angiography to be held.
- It may cause acute intestinal obstruction.
Abdominal X ray
Chest X ray
- In small percentage (about 27-33%) of the acute abdomen patients, including diverticulitis, they may have a respiratory abnormality. Hence, chest x ray is recommended in patients suspected with diverticulitis.
- Chest X ray in cases of diverticulitis could show pneumoperitoneum which is a complication of the abdominal obstruction that is one of the diverticulitis manifestation. Discovering this abnormality will lead to change of the case manangement and the chest X ray is the best radio-modality which can show the pneumoperitoneum.[4]
References
- ↑ Rafferty J, Shellito P, Hyman NH, Buie WD, Standards Committee of American Society of Colon and Rectal Surgeons (2006). "Practice parameters for sigmoid diverticulitis". Dis Colon Rectum. 49 (7): 939–44. doi:10.1007/s10350-006-0578-2. PMID 16741596.
- ↑ Gottesman L, Zevon SJ, Brabbee GW, Dailey T, Wichern WA (1984). "The use of water-soluble contrast enemas in the diagnosis of acute lower left quadrant peritonitis". Dis Colon Rectum. 27 (2): 84–8. PMID 6697835.
- ↑ McKee RF, Deignan RW, Krukowski ZH (1993). "Radiological investigation in acute diverticulitis". Br J Surg. 80 (5): 560–5. PMID 8518890.
- ↑ Field S, Guy PJ, Upsdell SM, Scourfield AE (1985). "The erect abdominal radiograph in the acute abdomen: should its routine use be abandoned?". Br Med J (Clin Res Ed). 290 (6486): 1934–6. PMC 1416036. PMID 3924315.