Copyright
©2005 Baishideng Publishing Group Inc.
World J Gastroenterol. Apr 7, 2005; 11(13): 1981-1986
Published online Apr 7, 2005. doi: 10.3748/wjg.v11.i13.1981
Published online Apr 7, 2005. doi: 10.3748/wjg.v11.i13.1981
Table 2 Diagnoses made by ER physicians and CT vs colonoscopy findings and histology results.
Patient number | ER physician’s clinical diagnoses (prior to the CT scan) | CT findings and suggested diagnoses | Colonoscopy findings | Histology (when available) |
1 | Bowel obstruction | Ascending colon tumor | Ascending colon tumor | Well-differentiated adenocarcinoma |
2 | Inflammatory bowel disease | Inflammatory bowel disease of terminal ileum | Inflammation, ulceration and pseudopolyps by the ileo-cecal valve | Active chronic inflammation |
3 | Acute appendicitis or acute diverticulitis | Descending colon tumor | Obstructing descending colon tumor | Well-differentiated adenocarcinoma |
4 | Colonic tumor | Transverse colon tumor | Mid-transverse colon tumor | Moderately to poorly differentiated adenocarcinoma |
5 | Acute diverticulitis | Sigmoid colon wall thickening and polyp | Erythematous sigmoid colon mucosa and a sessile polyp | Hyperplastic mucosal glands |
6 | Acute diverticulitis | Right colon wall thickening from cecum to hepatic flexure | Right colon congested and erythematous mucosa with mucopurulent exudate | Acute inflammation with ulceration and fibrinopurulent exudates |
7 | Acute appendicitis | Ascending colon tumor | Ascending colon fungating tumor | Acute and chronic ischemic changes. No neoplastic process |
8 | Colonic tumor | Cecal tumor with liver metastasis | Cecal tumor | Moderately differentiated adenocarcinoma |
9 | Gastric or colonic carcinoma | Cecal tumor | Cecal tumor | Ulcerated moderately to poorly differentiated adenocarcinoma |
10 | Colitis | Diffuse colon wall thickening | Normal | |
11 | Colonic tumor | Transverse colon tumor | 20-mm large base cecal polyp with villous appearance | Tubulo-villous adenoma with low- grade dysplasia |
12 | Colonic tumor | Sigmoid colon tumor | Normal | |
13 | Pelvic inflammatory disease or inflammatory bowel disease | Diffuse bowel wall thickening, suspected Crohn’s disease | Normal | |
14 | Acute appendicitis | Cecal and ascending colon wall thickening | Normal | |
15 | Acute diverticulitis or renal colic | Descending colon tumor | Cecal polyp | Tubular adenoma with focal high-grade dysplasia |
16 | Acute appendicitis or acute cholecystitis | Cecal tumor, hepatosplenomegaly | Diffuse angiodysplasia | |
17 | Inflammatory bowel disease or infectious colitis | Terminal ileum wall thickening, suspected Crohn’s disease | Normal | |
18 | Inflammatory bowel disease | Inflammatory changes in the ileo-cecal valve area | Normal | |
19 | Acute pancreatitis or acute cholecystitis | Terminal ileum wall thickening, hepatosplenomegaly, right ovarian cyst | Normal | |
20 | Bowel obstruction | Ascending to mid-transverse colon wall thickening | 2-mm colonic polyp | Inflamed sessile adenomatous polyp |
- Citation: Mizrahi M, Mintz Y, Rivkind A, Kisselgoff D, Libson E, Brezis M, Goldin E, Shibolet O. A prospective study assessing the efficacy of abdominal computed tomography scan without bowel preparation in diagnosing intestinal wall and luminal lesions in patients presenting to the emergency room with abdominal complaints. World J Gastroenterol 2005; 11(13): 1981-1986
- URL: https://www.wjgnet.com/1007-9327/full/v11/i13/1981.htm
- DOI: https://dx.doi.org/10.3748/wjg.v11.i13.1981