Diverticulitis: a comprehensive review with usual and unusual complications

Onur, Mehmet Ruhi; Akpınar, Erhan; Karaosmanoğlu, Ali Devrim; Isayev, Cavid; Karçaaltıncaba, Muşturay

doi:10.1007/s13244-016-0532-3

Cited by 54 publications

(57 citation statements)

References 32 publications

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“…A tubo-ovarian abscess reflects an agglutination of pelvic organs including the tube, ovary, and bowel, representing an end-stage process of acute pelvic inflammatory disease. However, it may also develop because of perforated diverticulitis or appendicitis [1]. CECT is worldwide considered the imaging technique of choice to evaluate patients with both suspected diverticulitis and related complications, with a success rate of over 85% in the detection of free air [1].…”

Section: Discussionmentioning

confidence: 99%

“…Diverticulitis is one of the most frequent abdominal emergencies and may result in perforation secondary to severe inflammation of the bowel with phlegmon and abscess formation. Sigmoid diverticulitis with perforation may occasionally involve the female genital tract and can result in tubo-ovarian abscess [1]. Contrast-enhanced computed tomography (CECT) is the mainstay imaging technique for the diagnosis of diverticulitis and its complications.…”

Section: Introductionmentioning

confidence: 99%

“…However, ultrasonography (US) used as a first examination can provide useful information, allowing to detect thickened and hypoechoic bowel walls, adjacent edema, and thickening of the mesentery. Moreover, it can be used to guide percutaneous drainage of the abscess collections [1]. Recently, contrast-enhanced US (CEUS) has been reported to improve the US assessment of the bowel pathology, enabling to better evaluate and quantify the presence of bowel inflammation and its complications [2], as well as to guide more reliably and safely the percutaneous treatment [3].…”

Section: Introductionmentioning

confidence: 99%

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Can Contrast-Enhanced Ultrasonography Document Both an Iatrogenic Bleeding and the Stop of the Bleeding? A Case Report

Vizzuso

Tombesi²,

Vece³

et al. 2019

SN Compr. Clin. Med.

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Ultrasonography-guided percutaneous drainage is an effective and safe procedure to treat abdominal fluid collections. However, bleeding complications can sometimes occur. Ultrasonography can document the presence of hematomas, but it cannot detect whether the bleeding is still ongoing. Contrast-enhanced ultrasonography has been reported to enable the detection of active extravasation and is increasingly used when active abdominal bleeding is suspected. In this case report, contrast-enhanced ultrasonography played a key role not only in the depiction of active bleeding following the percutaneous drainage of a tuboovarian abscess, but also in the real-time demonstration of the spontaneous stop of the bleeding, suggesting that it can play at least an intermediate role between ultrasonography and contrast-enhanced computed tomography.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Can Contrast-Enhanced Ultrasonography Document Both an Iatrogenic Bleeding and the Stop of the Bleeding? A Case Report

Vizzuso

Tombesi²,

Vece³

et al. 2019

SN Compr. Clin. Med.

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“…7 for example of stenosis), the complicated courses of CDD type 3c have distinct morphological characteristics. Onur et al provided a current description of these complications [43].…”

Section: Acute Complicated Diverticulitismentioning

confidence: 99%

The CDD System in Computed Tomographic Diagnosis of Diverticular Disease

Pustelnik

Elsholtz

Bojarski

et al. 2017

Fortschr Röntgenstr

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ABSTR AC TPurpose This overview sums up the Classification of Diverticular Disease (CDD) with regard to its application in computed tomographic diagnosis and briefly recapitulates its targeted advantages over preliminary systems. Primarily, application of the CDD in computed tomography diagnostics is described. Differences with respect to the categories of the older systems are pointed out on the level of each CDD type using imaging examples. Materials and MethodsThe presented images are derived from our institute according to the S2k criteria. Literature was researched on PubMed.Results The CDD constitutes an improvement compared to older systems for categorizing the stages of diverticular disease. It provides more discriminatory power on the descriptive-morphological level and defines as well as differentiates more courses of the disease. Furthermore, the categories translate more directly into state-of-the-art decisionmaking concerning hospitalization and therapy.Conclusion The CDD should be applied routinely in the computed tomographic diagnosis of diverticular disease. Typical imaging patterns are presented. Key points▪ The CDD is superior to its predecessors. It better stratifies Material und Methode Die gezeigten Bilder stammen aus der eigenen Klinik und wurden entsprechend der S2k-Leitlinie definiert. Ferner wurde eine PubMed-Literaturrecherche durchgeführt.Ergebnisse Die CDD stellt einen Fortschritt gegenüber älte-ren Klassifikationssystemen der Divertikelkrankheit dar. Sie bietet deskriptiv-morphologisch mehr Trennschärfe und erfasst und differenziert mehr Verläufe. Darüber hinaus über-setzen sich ihre Kategorien direkter in zeitgemäße Indikationsstellung von Hospitalisierung und Therapie. This document was downloaded for personal use only. Unauthorized distribution is strictly prohibited.Schlussfolgerung Die CDD sollte in der alltäglichen computertomografischen Befundung der Divertikelkrankheit verwendet werden. Hierzu wurden entsprechende Bildbeispiele hinterlegt.

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“…[7][8][9][10] The occurrence of extensive cervical and mediastinal emphysema as the presenting sign following colon perforation is very rare. 11 This report presents a rare case of cervical and mediastinal emphysema as the first clinical manifestation following colon perforation caused by a cesarean section.…”

Section: Introductionmentioning

confidence: 97%

Cervical and Mediastinal Emphysema as the First Manifestation of Colonic Laceration Following Cesarean Section

Mahmodlou

Yousefiazar

2020

Journal of Gynecologic Surgery

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Background: One of the most common surgical procedures, cesarean section, can cause adhesion bands in the abdomen. Intestinal injury is a complication of repeat cesarean sections, particularly in the presence of adhesion bands. Occurrence of extensive cervical, subcutaneous, and mediastinal emphysema following colon perforation is a rare condition. This report presents a very rare case of cervical and mediastinal emphysema as the primary sign following colon perforation caused by a cesarean section. Case: A 27-year-old woman undergoing cesarean section was referred to an emergency room due to crepitus palpation. A physical examination revealed that she had ''snowball'' crepitation in her neck and upper chest. A chest-X ray revealed that she had mediastinal emphysema. In an abdominal exploration, her sigmoid colon was found sticking to her abdominal wall in the left corner of a Pfannenstiel incision while that colon had a small laceration and fistula to the abdominal wall. The sigmoid colon was released from the fascia and repaired with some Gambee stitches. Then, the pneumomediastinum space was drained from her neck by a collar incision. Results: The patient's granulation tissue gradually appeared at the incision line over the intestine and lateral wound. The skin in the upper and lower parts of the midline incision were approximated, and the lateral wound was left open for spontaneous closure. A few days after the surgery, the subcutaneous and mediastinal emphysema disappeared. She was discharged with instructions on taking a daily bath and dressing the lateral surgical wound. After 4 weeks, the lateral surgical wound had closed. Conclusions: Adhesion bands occur in repeat cesarean sections due to intestinal injuries, even though an optimal technique is used. A sufficient pressure gradient between the intestinal duct and the subcutaneous space following perforation and the presence of dead spaces in fascia resulting in surgical wounds are important factors in development of subcutaneous emphysema due to intestinal perforation. (J GYNECOL SURG 36:94)

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Diverticulitis: a comprehensive review with usual and unusual complications

Cited by 54 publications

References 32 publications

Can Contrast-Enhanced Ultrasonography Document Both an Iatrogenic Bleeding and the Stop of the Bleeding? A Case Report

Can Contrast-Enhanced Ultrasonography Document Both an Iatrogenic Bleeding and the Stop of the Bleeding? A Case Report

The CDD System in Computed Tomographic Diagnosis of Diverticular Disease

Cervical and Mediastinal Emphysema as the First Manifestation of Colonic Laceration Following Cesarean Section

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