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Radiologia 2004;46:151-8 - DOI: 10.1016/S0033-8338(04)77953-9
Diverticulitis del colon derecho. Hallazgos en ecografía y tomografía computarizada
Right Colon Diverticulitis
Marcos Agramunta, Tomás Ripollésa,, , Esther Blanca, M. Jesús Martíneza, Segundo Gómez-Abrilb
a Departamento de Radiodiagnóstico y Cirugía.
b Hospital Universitario Dr. Peset. Valencia. España.
Recibido 11 julio 2003, Aceptado 05 noviembre 2003

To describe findings of right colon diverticulitis in ultrasound and computerized tomography, and to demonstrate that these techniques can be used diagnostically to complement one other.

Materials and Methods

Radiological findings of 14 patients diagnosed at our hospital over the past 7 years with diverticulitis of the right colon were examined. Ultrasound was realized in all the cases and CT in 11 cases. The following findings were evaluated: visualization of the diverticulum, alteration of pericolonic fat, colon wall thickening, and identification of the appendix.


Both alteration of pericolonic fat and colon wall thickening were observed in ultrasound scan, as well as CT. The diverticulum was visualized by ultrasound and CT in 13 cases (93%) and 11 cases (100%), respectively. The normal appendix was identified in 7 cases (58%) by ultrasound scan, and in 5 cases (55%) by CT. Emergency room diagnosis through radiological means was as follows: right colon diverticulitis in 9 cases, AA amyloidosis in 2 cases, colon neoplasia in 2 cases, inflammatory mass of undefined origin in one case.


The most common ultrasound visualizations are those of diverticula adjacent to segments of thickened colonic wall and surrounded by a hyperechoic zone of fat. CT confirmation of these findings can only lead to an increased confidence in the diagnosis. Awareness among radiologists of this disease and its diagnostic findings would facilitate preoperative recognition and the avoidance of having to perform unnecessary surgical procedures.

Palabras clave
Diverticulitis del colon derecho, Ecografía, Tomogra-fía computarizada
Key words
Right Colon Diverticulitis, Ultrasound Scan, Computerized Tomography
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L.F. Oudenhoven,R.K. Koumans,J.B. Puylaert
Right colonic diverticulitis: US and CT findings-New insights about frequency and natural history
P. Arrington,CS Jr. Judd
Cecal diverticulitis
Am J Surg, 142 (1981), pp. 56-59
N.I. Markham,A.K. Li
Diverticulitis of the right colon: experience from Hong Kong
Gut, 33 (1992), pp. 547-549
C.Y. Lo,K.W. Chu
Acute diverticulitis of the right colon
D.S. Katz,M.J. Lane,B.A. Ross,B.M. Gold,RB Jr Jeffrey,R.E. Mindelzum
Diverticulitis of the right colon revisited
AJR Am J Roentgenol, 171 (1998), pp. 151-156 http://dx.doi.org/10.2214/ajr.171.1.9648779
M. Wada,Y. Kikuchi,M. Doy
Uncomplicated acute diverticulitis of the cecum and ascending colon: sonographic findings in 18 patients
AJR Am J Roentgenol, 155 (1990), pp. 283-287 http://dx.doi.org/10.2214/ajr.155.2.2115252
J.B. Puylaert,P.H. Rutgers,R.I. Laliasang,B.C. De Vries,Werf SD Van der,J.P. Dorr
A prospective study of ultrasonography in the diagnosis of appendicitis
N Engl J Med, 317 (1987), pp. 666-669 http://dx.doi.org/10.1056/NEJM198709103171103
S.M. Garham,G.H. Ballantyne
Cecal diverticulitis
A review of the American experience. Dis Colon Rectum, 30 (1987), pp. 821-826
M.J. Asch,A.M. Markowitz
Cecal diverticulitis: report of 16 cases and a review of the literature
Surgery, 65 (1969), pp. 906-910
Y.H. Chou,H.J. Chiou,C.M. Tiu,J.D. Chen,C.C. Hsu,C.H. Lee
So-nography of acute right side colonic diverticulitis
Am J Surg, 181 (2001), pp. 122-127
V.A. Silberman
Appendictomy in a large metropolitan hospital: retrospective analysis of 1013 cases
Am J Med, 142 (1981), pp. 615-618
R. Pieper,L. Kager,P. Nasman
Acute appendicitis: a clinical study of 1082 cases of emergency appendectomy
Acta Chir Scand, 148 (1982), pp. 51-62
K.S. Jhaveri,G. Harisinghani,J. Wittenberg,S. Sanjay,P.R. Mueller
Right-sided colonic diverticulitis: CT findings
J CAT, 26 (2002), pp. 84-89
C.C. Neff,E. Van Sonnenberg
CT of diverticulitis: diagnosis and treatment
Radiol Clin North Am, 27 (1989), pp. 743-752
P.M. Rao,J.T. Rhea,R.A. Novelline,C.J. McCabe,J.N. Lawrason,D.L. Berger
Helical CT technique for the diagnosis of appendicitis: prospective evaluation of a focused appendix CT examination
A. Alvarado
Practical score for the early diagnosis of the acute appendicitis
Ann Emerg Med, 15 (1986), pp. 557-564
H.J. Jang,H.K. Lim,S.J. Lee,W.J. Lee,E.Y. Kim,S.H. Kim
Acute diverticulitis of the cecum and ascending colon: the value of thin-section helical CT findings in excluding colonic carcinoma
AJR Am J Roentgenol, 174 (2000), pp. 1397-1402 http://dx.doi.org/10.2214/ajr.174.5.1741397
T. Ripollés,M.J. Martínez-Pérez,V. Morote,J. Solaz
Diseases that simulate acute appendicitis on ultrasound
E.M. Danse,B.E. Van Beers,V. Baudrez,C. Pauls,Y. Baudrez,A. Kartheuser
Epiploic appendagitis: color Doppler sonographic findings
Eur Radiol, 11 (2001), pp. 183-186 http://dx.doi.org/10.1007/s003300000672
R.B. Jeffrey,F.G. Sommer,J.F. Debatin
Color Doppler sonography of focal gastrointestinal lesions: initial clinical experience
J Ultrasound Med, 13 (1994), pp. 473-478
S.P. Quillin,M.J. Siegel
Appendicitis: efficacy of color Doppler sono-graphy
P.J. Schmit,R.S. Bennion,JE Jr. Thompson
Cecal diverticulitis: a continuing diagnostic dilema
World J Surg, 15 (1991), pp. 367-371
H.J. Jang,H.K. Lim,S.J. Lee,S.H. Choi,M.H. Lee,M.H. Choi
Acute diverticulitis of the cecum and ascending colon: thin-section helical CT findings
AJR Am J Roentgenol, 172 (1999), pp. 601-604 http://dx.doi.org/10.2214/ajr.172.3.10063843
TOMÁS RIPOLLÉS. Departamento de Radiología. Hospital Universitario Dr. Peset. Avda. Gaspar Aguilar, 90. 46017 Valencia. España. (Tomás Ripollés ripolles_tom@gva.es)
Copyright © 2004. Sociedad Española de Radiología Médica (SERAM) and Elsevier España, S.L.