Brief Reports
Copyright ©2005 Baishideng Publishing Group Inc.
World J Gastroenterol. Apr 7, 2005; 11(13): 1981-1986
Published online Apr 7, 2005. doi: 10.3748/wjg.v11.i13.1981
Table 2 Diagnoses made by ER physicians and CT vs colonoscopy findings and histology results.
Patient numberER physician’s clinical diagnoses (prior to the CT scan)CT findings and suggested diagnosesColonoscopy findingsHistology (when available)
1Bowel obstructionAscending colon tumorAscending colon tumorWell-differentiated adenocarcinoma
2Inflammatory bowel diseaseInflammatory bowel disease of terminal ileumInflammation, ulceration and pseudopolyps by the ileo-cecal valveActive chronic inflammation
3Acute appendicitis or acute diverticulitisDescending colon tumorObstructing descending colon tumorWell-differentiated adenocarcinoma
4Colonic tumorTransverse colon tumorMid-transverse colon tumorModerately to poorly differentiated adenocarcinoma
5Acute diverticulitisSigmoid colon wall thickening and polypErythematous sigmoid colon mucosa and a sessile polypHyperplastic mucosal glands
6Acute diverticulitisRight colon wall thickening from cecum to hepatic flexureRight colon congested and erythematous mucosa with mucopurulent exudateAcute inflammation with ulceration and fibrinopurulent exudates
7Acute appendicitisAscending colon tumorAscending colon fungating tumorAcute and chronic ischemic changes. No neoplastic process
8Colonic tumorCecal tumor with liver metastasisCecal tumorModerately differentiated adenocarcinoma
9Gastric or colonic carcinomaCecal tumorCecal tumorUlcerated moderately to poorly differentiated adenocarcinoma
10ColitisDiffuse colon wall thickeningNormal
11Colonic tumorTransverse colon tumor20-mm large base cecal polyp with villous appearanceTubulo-villous adenoma with low- grade dysplasia
12Colonic tumorSigmoid colon tumorNormal
13Pelvic inflammatory disease or inflammatory bowel diseaseDiffuse bowel wall thickening, suspected Crohn’s diseaseNormal
14Acute appendicitisCecal and ascending colon wall thickeningNormal
15Acute diverticulitis or renal colicDescending colon tumorCecal polypTubular adenoma with focal high-grade dysplasia
16Acute appendicitis or acute cholecystitisCecal tumor, hepatosplenomegalyDiffuse angiodysplasia
17Inflammatory bowel disease or infectious colitisTerminal ileum wall thickening, suspected Crohn’s diseaseNormal
18Inflammatory bowel diseaseInflammatory changes in the ileo-cecal valve areaNormal
19Acute pancreatitis or acute cholecystitisTerminal ileum wall thickening, hepatosplenomegaly, right ovarian cystNormal
20Bowel obstructionAscending to mid-transverse colon wall thickening2-mm colonic polypInflamed sessile adenomatous polyp

  • Citation: Mizrahi M, Mintz Y, Rivkind A, Kisselgoff D, Libson E, Brezis M, Goldin E, Shibolet O. A prospective study assessing the efficacy of abdominal computed tomography scan without bowel preparation in diagnosing intestinal wall and luminal lesions in patients presenting to the emergency room with abdominal complaints. World J Gastroenterol 2005; 11(13): 1981-1986
  • URL: https://www.wjgnet.com/1007-9327/full/v11/i13/1981.htm
  • DOI: https://dx.doi.org/10.3748/wjg.v11.i13.1981