Transabdominal ultrasound for complicated diverticular disease
https://doi.org/10.33878/2073-7556-2023-22-2-112-117
Abstract
AIM: to evaluate the effectiveness of transabdominal ultrasound for complicated diverticular disease (CDD).
PATIENTS AND METHODS: a retrospective study included 108 patients with CDD. All patients had left-sided diverticula, while in the vast majority of patients, diverticula were located in the sigmoid colon.
RESULTS: transabdominal ultrasound was informative in 84.3% of patients; in 74.1% of cases (80 patients), diverticula were clearly identified with sizing, infiltration of the intestinal wall, fluid around the intestine, the presence of a fistulous tract in perforation, gas collections; 11 (10.2%) patients had indirect signs, such as diffuse hypoechogenic thickening of the intestinal wall, its infiltration, fistulous tract, liquid near the intestine, hyperechogenic structure of fat near the intestine, the presence of a paracolic abscess, absence or slowing down of peristalsis; 17 (15.7%) patients showed no changes, one had a false positive conclusion.
CONCLUSION: transabdominal ultrasound is an informative and non-invasive method for diagnosing complicated diverticular disease in urgent surgery.
About the Authors
E. I. Semionkin
Ryazan State Medical University
Russian Federation
Russian Federation
Eugeniy I. Semionkin — Candidate of Medical Sciences, Associate Professor, Associate Professor of the Department of Faculty Surgery with the course of Anesthesiology and Resuscitation
Vysokovoltnaya st., 9, Ryazan, 390026, Russia
D. A. Khubezov
Ryazan State Medical University
Russian Federation
Russian Federation
Dmitry A. Khubezov — Doctor of Medical Sciences, Professor
Vysokovoltnaya st., 9, Ryazan, 390026, Russia
R. V. Lucanin
Ryazan State Clinical Hospital
Russian Federation
Russian Federation
Roman V. Lucanin — head. department of coloproctology
Internatsionalnaya st., 3a, Ryazan, 390039, Russia
D. K. Puchkov
Ryazan State Medical University
Russian Federation
Russian Federation
Dmitri K. Puchkov — Candidate of Medical Sciences, Associate Professor
Vysokovoltnaya st., 9, Ryazan, 390026, Russia
A. Yu. Ogoreltzev
Ryazan State Medical University
Russian Federation
Russian Federation
Alexander Yu. Ogoreltzev — Candidate of Medical Sciences, Associate Professor, Associate Professor of the Department of Faculty Surgery with the course of Anesthesiology and Resuscitation
Vysokovoltnaya st., 9, Ryazan, 390026, Russia
E. A. Yudina
Ryazan State Clinical Hospital
Russian Federation
Russian Federation
Elena A. Yudina — resident of the Department of coloproctology
Internatsionalnaya st., 3a, Ryazan, 390039, Russia
I. Yu. Bragina
Ryazan State Clinical Hospital
Russian Federation
Russian Federation
Irina Yu. Bragina — Resident of the Department of Functional Diagnostics
Internatsionalnaya st., 3a, Ryazan, 390039, Russia
A. S. Gordeeva
Ryazan State Medical University
Russian Federation
Russian Federation
Alexandra S. Gordeeva — Clinical Resident
Vysokovoltnaya st., 9, Ryazan, 390026, Russia
References
1. Zemlyanoi V.P., Sigua B.V., Nikiforenko A.V., et al. Features of surgical treatment of late complications of diverticular colon disease. Bulletin of the I.I. Mechnikov Northwestern State Medical University. 2017;2(9):121–124. (in Russ.). doi: 10.17816/mechnikov201792121-124
2. Swanson SM, Strate LL. Acute Colonic Diverticulitis. Annals of internal medicine. 2018;168(9):65–80. doi: 10.7326/AITC 201805010
3. Trubacheva Yu.L. Ultrasound diagnostics of chronic inflammatory complications of diverticular colon disease. Autoref...diss. Doctor of Medical Sciences. Moscow, 2020. 40 p. (in Russ.).
4. Maskin S.S., Korsakov A.M., Klimovich I.N., et al. Epidemiology and principles of diagnosis of inflammatory complications of diverticular disease (literature review). Koloproktologiya. 2016;1(55):58–64. (in Russ.).
5. Timerbulatov M.V., Kulyapin A.V., Lopatin D.V., Aitova L.R. Diagnostic tactics in the management of patients with diverticular disease complicated by a perforated diverticulitis in 15 years. Koloproktologia. 2018;(2):85–88. (In Russ.). doi: 10.33878/2073-7556-2018-0-2-85-88
6. Lameris W, Randen A, Bipat S, et al. Graded compression ultrasonography and computead tomography in acute colonic diverticulitis metaanalysis of fest accuracy. Eur Radiol. 2008; Nov 18 (1):2498–511.
7. Karpukhin O.Yu., Pankratova Yu.S., Cherkashina M.I., et al. Complicated diverticulitis: management, diagnosis, treatment. Koloproktologia. 2018;(2):68–72. (In Russ.). doi: 10.33878/2073-7556-2018-0-2-68-72
8. Trubacheva Y.L., Orlova L.P., Moskalev A.I., et al. Ultrasound diagnostics of chronic parabolic infiltrate in diverticular colon disease. Surgery. Journal named after N.I. Pirogov. 2020;9:14–19 (In Russ.).
9. Melchior S, Gudovic D, Jones J, et al. Diagnosis and surgical management of colovesical fistulas due to sigmoid diverticulitis. The Journal of Urology. 2009;182(3):978–82. doi: 10.1016/j.juro.2009.05.022
Review
For citations:
Semionkin E.I., Khubezov D.A., Lucanin R.V., Puchkov D.K., Ogoreltzev A.Yu., Yudina E.A., Bragina I.Yu., Gordeeva A.S. Transabdominal ultrasound for complicated diverticular disease. Koloproktologia. 2023;22(2):112-117. https://doi.org/10.33878/2073-7556-2023-22-2-112-117
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