Gastrointestinal Radiology

, Volume 8, Issue 1, pp 353–358 | Cite as

Complications of diverticular disease: A review of the barium enema findings

  • Michael J. Greenall
  • Arnold W. Levine
  • Daniel J. Nolan
Article
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Accepted:

Abstract

Complications of diverticular disease are among the most common causes of all acute hospital admissions. The barium enema is the most important investigation in these patients, both for establishing the diagnosis and planning their management. However, few comprehensive reviews have described the radiological appearances of the complications of diverticular disease. We describe the radiological features and emphasize the diagnostic difficulties that may occur.

Key words

Colon, radiography Diverticulosis, complications 
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References

  1. 1.
    Kyle J, Davidson AI: The changing pattern of hospital admissions for diverticular disease of the colon.Br J Surg 62:537–541, 1975PubMedGoogle Scholar
  2. 2.
    Alexander-Williams J: Management of the acute complications of diverticular disease: the dangers of colostomy.Dis Colon Rectum 19:289–292, 1976PubMedGoogle Scholar
  3. 3.
    Gear JSS, Ware A, Fursdon P, Mann JI, Nolan DJ, Brodribb AJM, Vessey MP: Symptomless diverticular disease and intake of dietary fibre.Lancet 1:511–514, 1979CrossRefPubMedGoogle Scholar
  4. 4.
    Ming SC, Fleischner FG: Diverticulitis of the sigmoid colon: reappraisal of the pathology and pathogenesis.Surgery 58:627–633, 1965Google Scholar
  5. 5.
    Painter NS:Diverticular Disease of the Colon — A Deficiency Disease of Western Civilization. London: William Heinemann, 1975, pp 180–191Google Scholar
  6. 6.
    Fleischner FG: Diverticular disease of the colon. New observations and revised concepts.Gastroenterology 60:316–324, 1971PubMedGoogle Scholar
  7. 7.
    Nicholas GG, Miller WT, Fitts WT, Tondreau RL: Diagnosis of diverticulitis of the colon: role of the barium enema in defining pericolic inflammation.Ann Surg 176:205–209, 1972PubMedGoogle Scholar
  8. 8.
    Lumsden K, Truelove SC: Intravenous probanthine in diagnostic radiology of the gastrointestinal tract.Br J Radiol 32:517–526, 1959Google Scholar
  9. 9.
    Brown DB, Toomey WF: Diverticular disease of the colon. A review of 258 cases.Br J Surg 47:485–493, 1960PubMedGoogle Scholar
  10. 10.
    Berk RN: Radiographic evaluation of spastic colonic disease, diverticulosis and diverticulitis.Gastrointest Endosc 26 Suppl2:26S-30S, 1980PubMedGoogle Scholar
  11. 11.
    Chennells PM, Simpkins KC: The barium enema diagnosis of paracolic abscess.Clin Radiol 32:73–84, 1981CrossRefPubMedGoogle Scholar
  12. 12.
    Marshak RH, Lindner AE, Maklansky D: Diverticulosis and diverticulitis of the colon.Mt Sinai J Med 46:261–276, 1979PubMedGoogle Scholar
  13. 13.
    Schulman A, Fataar S: Extrinsic stretching, narrowing and anterior indentation of the rectosigmoid junction.Clin Radiol 30:463–469, 1979CrossRefPubMedGoogle Scholar
  14. 14.
    Theander G, Wehlin L: The radiology of pelvic endometriosis.Clin Radiol 19:19–32, 1968CrossRefPubMedGoogle Scholar
  15. 15.
    Ponka JL, Fox JD, Brush BE: Coexisting carcinoma and diverticula of the colon.Arch Surg 79:373–384, 1959PubMedGoogle Scholar
  16. 16.
    Marshak RH, Eliasoph J: Inflammatory lesions of the small bowel secondary to colonic diverticulitis.Am J Dig Dis 6:423–428, 1961PubMedGoogle Scholar
  17. 17.
    Smith HJ, Berk RN, Janes JO, Clayton RS, Williams JL: Unusual fistulae due to colonic diverticulitis.Gastrointest Radiol 2:387–392, 1978CrossRefPubMedGoogle Scholar
  18. 18.
    Lipsit ER, Lewici AM: Subcutaneous emphysema of the abdominal wall from diverticulitis with necrotizing fasciitis.Gastrointest Radiol 4:89–92, 1979CrossRefPubMedGoogle Scholar
  19. 19.
    Ferrie BG, Smith IS: Subcutaneous emphysema of thigh secondary to diverticular disease.J R Coll Surg Edinb 27:239–240, 1982PubMedGoogle Scholar
  20. 20.
    Marshak RH, Janowitz HD, Present DH: Granulomatous colitis in association with diverticula.N Engl J Med 283:1080–1084, 1970PubMedGoogle Scholar
  21. 21.
    Loeb PM, Berk RN, Saltzstein SL: Longitudinal fistula of the colon in diverticulitis.Gastroenterology 67:720–724, 1974PubMedGoogle Scholar
  22. 22.
    Henderson MA, Small WP: Vesico-colic fistula complicating diverticular disease.Br J Urol 41:314–319, 1969PubMedGoogle Scholar
  23. 23.
    Mayo CW, Blunt CP: Vesicosigmoidal fistulae complicating diverticulitis.Surg Obstet Gynaecol 91:612–616, 1950Google Scholar
  24. 24.
    Geier GR, Ujiki GT, Shields TW: Colovesical fistula.Arch Surg 105:347–351, 1972PubMedGoogle Scholar
  25. 25.
    Lockhart-Mummery HE: Vesico-intestinal fistula.J R Soc Med 51:1032–1042, 1958Google Scholar
  26. 26.
    Nolan DJ:A Radiological Atlas of Gastrointestinal Disease. New York: John Wiley Publishers, 1983Google Scholar

Copyright information

© Springer-Verlag 1983

Authors and Affiliations

  • Michael J. Greenall
    • 1
    • 2
  • Arnold W. Levine
    • 1
    • 2
  • Daniel J. Nolan
    • 1
    • 2
  1. 1.Department of SurgeryJohn Radcliffe HospitalOxfordEngland
  2. 2.Department of RadiologyJohn Radcliffe HospitalHeadington, OxfordEngland

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