Type:
Educational Exhibit
Keywords:
Abdomen, Colon, Gastrointestinal tract, CT, CT-High Resolution, Diagnostic procedure, Education, Diverticula
Authors:
D. Gutierrez, O. Chirife, M. pages, J. R. Ayuso, C. Ayuso; Barcelona/ES
DOI:
10.1594/ecr2013/C-0735
Conclusion
Imaging studies play a key medical decision-making role in patients with abdominal pain,
especially in low clinical suspicion pathologies.
RCD is a condition of low incidence,
benign course and primarily conservative treatment [9].
The clinical presentation similar to more common diseases affecting a relatively young group of patients [10,11] makes the knowledge of the CT imaging findings mandatory to reach the correct radiologic diagnosis,
avoiding unnecessary surgical procedures.
If a right colonic diverticulum associated with inflammatory changes is identified in conjunction with a normal cecal appendix,
the CT diagnosis of RCD is very likely.
Diverticulum identification is facilitated by the presence of hyperdense content,
in relation with the fecalith inside,
this being a key finding that increases diagnostic confidence.