To assess the feasibility and usefulness ofmulti-detector CT of the abdomen and pelviswith intravenous,oral and rectal contrast in the demonstration of colonic diverticulardisease. To demonstrate associated pericolic complications. To demonstrate the role of using rectal contrast for these patients. To understand the role of modern MDCT imaging in the management of these patients.

Diverticuli are outpouchings of the colonicmucosaand submucosa through weaknesses ofmusclelayers in the colon wall. Diverticulitis is the second most common cause for acute abdominal pain.Life expectancy has increased over the years and with it the chances of getting diverticulitis have increased as one lives longer. Acquired diverticular disease affects 5–10% of people over the age of 45 years, increasing to affect almost 80% by the age of 80 years. Between 10–25% of individuals with colonic diverticular disease will develop diverticulitis at some point, with a...

The present study was conducted in the department of Radiodiagnosis ,Breach Candy Hospital, Mumbai,India. In this prospective study conducted between June 2010 to June 2012,a total of 60 consecutive patients who came to the physician or the surgeon with complaints of abdominal pain mainly in lower quadrants, tenderness, fever, nausea, constipation and/or diarrhoea in whom colonic diverticular disease was suspected were studied in the age group of 35 to 80 years. CT scan was performed with a triple contrast technique using oral, rectal and intravenous...

We concluded that CT is the first and the only investigation required to establish the diagnosis, to determine next line of therapy–medical, interventional radiological or surgical in colonic diverticular disease. 1)MDCT is rapid, sensitive and specific in diagnosis of colonic diverticulitis and is the imaging modality of choice in depicting pericolonic complications. 2)MDCT helps understand the extent and severity of the diverticular disease process better and thus aids in patient management . 3)In the absence of colonic divericulitis ,it can diagnose other pathological conditions. 4)Use...

1)Karen M. Horton, Frank M. Corl,Elliot K. Fishman,et al. CT Evaluation of the Colon: Inflammatory Disease, RadioGraphics 2000; 20:399–418. 2)Rao PM, Rhea JT, Novelline RA, Dobbins JM, Lawrason JN, Sacknoff, Jeffery L.Stuck . Helical Ct with only colonic contrast material for diagnosing diverticulitis: prospective evaluation of 150 patients. AJR :170:1445-9,1998. 3)Moritz F. Kircher ,James T. Rhea, Danylo Kihiczak, Robert A. Novelline. Frequency, sensitivity, and specificity of individual signs of diverticulitis on thin- section helical CT with colonic contrast material: Experience with 312 Cases; AJR:178, June...

Dr.Khyati Shah, Department Of Imaging, Breach Candy Hospital, Mumbai,India. Email:[email protected]