Scholarlink

Background <p>The primary challenge in diagnosing diverticulitis is ruling out colon cancer, as both conditions are common in the elderly population and have similar clinical and imaging appearances. The aim of this work was to analyze the usefulness of specific diagnostic CT mesenteric signs for identifying and differentiating sigmoid diverticulitis from sigmoid cancer by contrast-enhanced computed tomography and correlation with histopathological data.</p> Results <p>There were significant differences between both groups regarding fat stranding proportionate or disproportionate, comma sign, and engorged mesenteric vessels (<i>P</i> &lt; 0.05).</p> Conclusions <p>Differentiating between sigmoid diverticulitis and cancer is crucial, especially in the elderly, due to their similar clinical presentations and imaging characteristics. A careful evaluation of CT mesenteric findings alongside clinical symptoms and potential endoscopic results is essential to accurately distinguish between these conditions. </p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Can computed tomography extra-luminal mesenteric signs differentiate accurately between sigmoid diverticulitis and sigmoid cancer?

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年6月15日

查看全文
  • Mohsen Ahmed Abdelmohsen,
  • Aya Refaat,
  • Yehia Zaki,
  • Nesma Elsayed Ahmed Ellshewy,
  • Mohamed Masoud Radwan Mohamed

摘要

Background

The primary challenge in diagnosing diverticulitis is ruling out colon cancer, as both conditions are common in the elderly population and have similar clinical and imaging appearances. The aim of this work was to analyze the usefulness of specific diagnostic CT mesenteric signs for identifying and differentiating sigmoid diverticulitis from sigmoid cancer by contrast-enhanced computed tomography and correlation with histopathological data.

Results

There were significant differences between both groups regarding fat stranding proportionate or disproportionate, comma sign, and engorged mesenteric vessels (P < 0.05).

Conclusions

Differentiating between sigmoid diverticulitis and cancer is crucial, especially in the elderly, due to their similar clinical presentations and imaging characteristics. A careful evaluation of CT mesenteric findings alongside clinical symptoms and potential endoscopic results is essential to accurately distinguish between these conditions.