CT evaluation of infectious colitis.

DOI PubMed 2 Citations 35 References
  • HORIKI Noriyuki
    <I>Division of Gastroenterology, St. Luke's International Hospital</I> <I>Division of Gastroenterology, National Mie Chuo Hospital</I> <I>3<SUP>rd</SUP> Department of Internal Medicine, Mie University</I>
  • MARUYAMA Masataka
    <I>Division of Gastroenterology, St. Luke's International Hospital</I>
  • FUJITA Yoshiyuki
    <I>Division of Gastroenterology, St. Luke's International Hospital</I>
  • SUZUKI Yuko
    <I>Division of Gastroenterology, National Mie Chuo Hospital</I> <I>3<SUP>rd</SUP> Department of Internal Medicine, Mie University</I>
  • TANAKA Tsuyoshi
    <I>Division of Gastroenterology, National Mie Chuo Hospital</I> <I>3<SUP>rd</SUP> Department of Internal Medicine, Mie University</I>
  • IMOTO Ichiro
    <I>3<SUP>rd</SUP> Department of Internal Medicine, Mie University</I>
  • ADACHI Yukihiko
    <I>3<SUP>rd</SUP> Department of Internal Medicine, Mie University</I>

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  • 感染性腸炎のＣＴ検査所見

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Description

Computed tomography (CT) is useful for evaluating the diagnosis of gastrointestinal disease, such as infectious colitis, in patients with severe pain and bloody diarrhea. During the 7 years between November 1993 and October 2000, 34 patients with infectious colitis (18 male, 16 female ; mean age 42±19 yrs), received emergency CT and colonoscopy because of severe abdominal pain and dysentery. The following organisms were isolated : pathogenic Escherichia coli (12), 6 of which were O157:H7 (O-157), Salmonella species (11), Campylobacter species (5), Vibrio parahaemolyticus (3), Yersinia enterocolotica (2) and Shigella species (1). Thickening of the intestinal wall greater than 10mm was seen in the ascending colon in the 6 cases with E. coli O157, in 5/11 cases with Salmonella, 4/5 with Campylobacter and 1/6 with non-O157 pathogenic E. Coli. Marked intestinal wall thickening, greater than 20mm, was seen in the ascending colon of the 4 of the patients with an O-157 infection. In all patients with O-157 colitis, slight ascites was noted in the pelvic space. In additions, ascites was also seen in 3/13 patients with Salmonella and 1/5 patients with Campylobacter colitis. The CT findings, in the patients with infectious colitis, are non-specific but knowledge and recognition of the findings will help in patient evaluation and proper treatment.

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