Septic thrombophlebitis of the inferior mesenteric vein complicating sigmoid diverticulitis: CT findings.

Molitch, Howard I.

doi:10.2214/ajr.167.4.8819403

Cited by 15 publications

(6 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…On the other hand, extraluminal air identified on CT scan in the mesenteric venous branches and portal venous branches is a rare but ominous finding of sigmoid diverticulitis, requiring urgent surgical intervention. 39,40 Large bowel obstructions can sometimes be seen in the setting of an acute episode of inflammation but usually reflect repeated prior episodes of diverticulitis with stricture formation. 24 In this setting, differentiating a diverticular stricture from colon cancer can be quite difficult.…”

Section: Computed Tomographymentioning

confidence: 99%

Imaging of Colonic Diverticular Disease

Snyder

2004

Clinics in Colon and Rectal Surgery

View full text Add to dashboard Cite

Diverticular disease affects approximately two thirds of the population over the age of 70. While only a small fraction of these patients will develop diverticulitis, adequate radiological evaluation of diverticulitis and its complications is imperative in determining proper medical and surgical treatment. Clinical examination and laboratory tests alone have been found to be inaccurate in defining many aspects of the disease in up to 60% of cases. Over the past 30 years, contrast enema, computed tomography, and ultrasound have all been used extensively to diagnose the complications of diverticular disease. More recently, magnetic resonance imaging has been studied in patients with complicated diverticulitis. This article reviews the use of these different radiological modalities in diagnosing acute colonic diverticulitis and its complications.

show abstract

Section: Computed Tomographymentioning

confidence: 99%

Imaging of Colonic Diverticular Disease

Snyder

2004

Clinics in Colon and Rectal Surgery

View full text Add to dashboard Cite

show abstract

“…The case we report here represents one of the few cases of septic thrombophlebitis of the IMV with gas seen on CT scan as a result of perforated diverticulitis. [3][4][5][6][7][8] Septic thrombophlebitis is usually manifest on CT scan by an air column and thrombus in the lumen of the affected vein with surrounding inflammatory changes. Historically, selective angiography has been used and may demonstrate a filling defect within the lumen of the mesenteric veins during the venous phase.…”

Section: Discussionmentioning

confidence: 99%

Mesenteric Venous Thrombophlebitis–Septic Thrombophlebitis of the Inferior Mesenteric Vein: An Unusual Manifestation of Diverticulitis

Domajnko

Kumar

Salloum

2007

The American Surgeon™

View full text Add to dashboard Cite

We report a case of a 57-year-old female patient who presented with fever, abdominal pain, and bacteremia. A CT scan demonstrated sigmoid diverticulitis and air within the inferior mesenteric vein. The patient underwent exploratory laparotomy and sigmoid colectomy. She was discharged without complications. Septic thrombophlebitis of the inferior mesenteric vein is a rare complication of diverticulitis. It may manifest as bacteremia not responding to intravenous antibiotics. CT scan findings are diagnostic, and include evidence of intraluminal gas within the inferior mesenteric vein. As with any case of complicated diverticulitis, the treatment is surgical resection of the involved colon.

show abstract

“…The advantage of intravenous contrast has been the demonstration of an inflamed diverticulum by wall enhancement [21]. Intravenous contrast has also proven useful in identifying alternative conditions which can mimic diverticulitis, and some complications of diverticulitis such as venous thrombosis [19,21,22].…”

Section: Use Of Contrastmentioning

confidence: 99%

“…Perforation may lead to the presence of intraperitoneal or retroperitoneal air, which even has been reported to dissect into the pararenal space [6]. Inferior mesenteric vein septic thrombosis also has been reported as a rare complication [22]. Other complications of diverticulitis include small bowel obstruction [31] and colonic and ureteral obstruction [30].…”

Section: Complications Of Diverticular Inflammationmentioning

confidence: 99%

CT evaluation of appendicitis and diverticulitis. Part II: Diverticulitis

Rhea¹

2000

Emergency Radiology

View full text Add to dashboard Cite

CT has become the primary imaging modality for evaluation of possible diverticulitis. In studies of patients taken to surgery for suspected diverticulitis without first undergoing CT, 25±33 % of resected specimens show no inflammation. The overall accuracy of CT in establishing or excluding the diagnosis is between 84 and 99 %. In patients without diverticulitis, an alternative diagnosis is seen in 50±58 % of cases. The appearance of carcinoma with perforation and diverticulitis may be the same, and, as a result, the degree of certainty in the diagnosis should be stated. Techniques include use of either oral and intravenous contrast or rectally administered contrast. No case of colonic perforation due to rectally administered water-soluble contrast for CT has been reported, although there have been cases of perforation using barium and fluoroscopy. All techniques scan the entire abdomen and pelvis since there are frequent alternative diagnoses seen beyond the area of initial pain.

show abstract

Septic thrombophlebitis of the inferior mesenteric vein complicating sigmoid diverticulitis: CT findings.

Cited by 15 publications

References 7 publications

Imaging of Colonic Diverticular Disease

Imaging of Colonic Diverticular Disease

Mesenteric Venous Thrombophlebitis–Septic Thrombophlebitis of the Inferior Mesenteric Vein: An Unusual Manifestation of Diverticulitis

CT evaluation of appendicitis and diverticulitis. Part II: Diverticulitis

Contact Info

Product

Resources

About