Skip Navigation LinksHome > November/December 2008 - Volume 42 - Issue 10 > Diagnostic Imaging for Diverticulitis
Journal of Clinical Gastroenterology:
doi: 10.1097/MCG.0b013e3181886ed4
NATIONAL DIVERTICULITIS STUDY GROUP POSITION PAPERS ON COLONIC DIVERTICULOSIS AND DIVERTICULITIS: NDSG Position Papers

Diagnostic Imaging for Diverticulitis

Sarma, Deba MD; Longo, Walter E. MD

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Abstract

The misdiagnosis rate of diverticulitis based solely on clinical and laboratory criteria is high and given the potential severity of diverticulitis and its complications, early and routine radiologic evaluation is recommended. Imaging is used to establish the diagnosis and its extent and severity, and to detect the presence of any complications so that management can be directed appropriately. The most widely used examinations for the diagnosis of diverticulitis are ultrasound, barium enema, computed tomography (CT), and recently, magnetic resonance imaging. Over the past decade CT has replaced barium enema mainly because of its ability to identify extracolonic extent of disease. CT scan remains the procedure of choice in the acute, symptomatic stage. Nevertheless, diverticulitis often remains a clinical diagnosis; thus communication between the clinician and the radiologist remains imperative to facilitate effective testing.

© 2008 Lippincott Williams & Wilkins, Inc.

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