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Ultrasound
Diagnosis
Bowel
Diverticulitis
Diverticulitis
Tara A. Morgan, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Definitions

                • Diverticulum/diverticula: Focal, sac-like outpouching(s)
                • Diverticulosis: Presence of colonic diverticula in absence of acute signs or symptoms
                • Diverticulitis: Inflammation of colonic diverticulum resulting in clinical signs

              IMAGING

              • General Features

                • Ultrasonographic Findings

                  • Radiographic Findings

                    • Fluoroscopic Findings

                      • CT Findings

                        • Imaging Recommendations

                          DIFFERENTIAL DIAGNOSIS

                            PATHOLOGY

                            • General Features

                              CLINICAL ISSUES

                              • Presentation

                                • Demographics

                                  • Natural History & Prognosis

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Consider

                                        • Image Interpretation Pearls

                                          Selected References

                                          1. Cohen A et al: A prospective evaluation of point-of-care ultrasonographic diagnosis of diverticulitis in the emergency department. Ann Emerg Med. 76(6):757-66, 2020
                                          2. Hall G: Point-of-care ultrasonography had 92% sensitivity and 97% specificity for diagnosing diverticulitis in the ED. Ann Intern Med. 173(10):JC59, 2020
                                          3. Nazerian P et al: Diagnostic accuracy of point-of-care ultrasound integrated into clinical examination for acute diverticulitis: a prospective multicenter study. Ultraschall Med. ePub, 2020
                                          4. Shokoohi H et al: Utility of point-of-care ultrasound in patients with suspected diverticulitis in the emergency department. J Clin Ultrasound. 48(6):337-42, 2020
                                          5. Puylaert JB: Ultrasound of colon diverticulitis. Dig Dis. 30(1):56-9, 2012
                                          6. Goh V et al: Differentiation between diverticulitis and colorectal cancer: quantitative CT perfusion measurements versus morphologic criteria--initial experience. Radiology. 242(2):456-62, 2007
                                          7. West AB et al: The pathology of diverticulosis coli. J Clin Gastroenterol. 38(5 Suppl):S11-6, 2004
                                          8. O'Malley M et al: Ultrasound of gastrointestinal tract abnormalities with CT correlation. RadioGraphics. 23(1):59-72, 2003
                                          Related Anatomy
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                                          Related Differential Diagnoses
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                                          References
                                          Tables

                                          Tables

                                          KEY FACTS

                                          • Terminology

                                            • Imaging

                                              • Top Differential Diagnoses

                                                • Pathology

                                                  • Clinical Issues

                                                    • Diagnostic Checklist

                                                      TERMINOLOGY

                                                      • Definitions

                                                        • Diverticulum/diverticula: Focal, sac-like outpouching(s)
                                                        • Diverticulosis: Presence of colonic diverticula in absence of acute signs or symptoms
                                                        • Diverticulitis: Inflammation of colonic diverticulum resulting in clinical signs

                                                      IMAGING

                                                      • General Features

                                                        • Ultrasonographic Findings

                                                          • Radiographic Findings

                                                            • Fluoroscopic Findings

                                                              • CT Findings

                                                                • Imaging Recommendations

                                                                  DIFFERENTIAL DIAGNOSIS

                                                                    PATHOLOGY

                                                                    • General Features

                                                                      CLINICAL ISSUES

                                                                      • Presentation

                                                                        • Demographics

                                                                          • Natural History & Prognosis

                                                                            • Treatment

                                                                              DIAGNOSTIC CHECKLIST

                                                                              • Consider

                                                                                • Image Interpretation Pearls

                                                                                  Selected References

                                                                                  1. Cohen A et al: A prospective evaluation of point-of-care ultrasonographic diagnosis of diverticulitis in the emergency department. Ann Emerg Med. 76(6):757-66, 2020
                                                                                  2. Hall G: Point-of-care ultrasonography had 92% sensitivity and 97% specificity for diagnosing diverticulitis in the ED. Ann Intern Med. 173(10):JC59, 2020
                                                                                  3. Nazerian P et al: Diagnostic accuracy of point-of-care ultrasound integrated into clinical examination for acute diverticulitis: a prospective multicenter study. Ultraschall Med. ePub, 2020
                                                                                  4. Shokoohi H et al: Utility of point-of-care ultrasound in patients with suspected diverticulitis in the emergency department. J Clin Ultrasound. 48(6):337-42, 2020
                                                                                  5. Puylaert JB: Ultrasound of colon diverticulitis. Dig Dis. 30(1):56-9, 2012
                                                                                  6. Goh V et al: Differentiation between diverticulitis and colorectal cancer: quantitative CT perfusion measurements versus morphologic criteria--initial experience. Radiology. 242(2):456-62, 2007
                                                                                  7. West AB et al: The pathology of diverticulosis coli. J Clin Gastroenterol. 38(5 Suppl):S11-6, 2004
                                                                                  8. O'Malley M et al: Ultrasound of gastrointestinal tract abnormalities with CT correlation. RadioGraphics. 23(1):59-72, 2003