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CT findings in ulcerative, granulomatous, and indeterminate colitis. AJR Am J Roentgenol 1984 Aug;143(2):279-84

Date

08/01/1984

Pubmed ID

6611056

DOI

10.2214/ajr.143.2.279

Scopus ID

2-s2.0-0021123587 (requires institutional sign-in at Scopus site)   84 Citations

Abstract

Eight patients with ulcerative colitis, three with colitis indeterminate, and 15 patients with Crohn disease were studied by computed tomography (CT) to establish CT criteria for each disorder in hopes of providing a new diagnostic perspective useful in the radiographic evaluation of inflammatory colitis. The CT findings in ulcerative colitis included thickening of the colon wall (mean, 7.8 mm), which was characterized by inhomogeneous attenuation and a "target" appearance of the rectum, and proliferation of perirectal fat. Bowel wall thickening (mean, 13 mm) with homogeneous attenuation, fistula and abscess formation, and mesenteric abnormalities were observed in patients with Crohn colitis. Patients with colitis indeterminate showed colonic changes on CT observed in both disorders. Initial experience suggests that CT can differentiate patients with well established ulcerative and Crohn colitis.

Author List

Gore RM, Marn CS, Kirby DF, Vogelzang RL, Neiman HL



MESH terms used to index this publication - Major topics in bold

Abscess
Adult
Aged
Colitis
Colitis, Ulcerative
Colon
Crohn Disease
Diagnosis, Differential
Female
Humans
Intestinal Fistula
Male
Mesentery
Middle Aged
Rectum
Tomography, X-Ray Computed