Ultrasound diagnosis of chronic paracolic inflammatory mass in diverticular disease

Trubacheva Yu.L.

Ryzhikh National Medical Research Centre of Coloproctology

Orlova L.P.

Ryzhikh National Medical Research Centre of Coloproctology

Moskalev A.I.

Ryzhikh National Medical Research Centre of Coloproctology

Skridlevskiy S.N.

Ryzhikh National Medical Research Centre of Coloproctology

Belov D.M.

Ryzhikh National Medical Research Centre of Coloproctology

Shakhmatov D.G.

Ryzhikh National Medical Research Centre of Coloproctology;
Russian Medical Academy of Postgraduate Education

Achkasov S.I.

State Research Centre of Coloproctology

Ultrasound diagnosis of chronic paracolic inflammatory mass in diverticular disease

Authors:

Trubacheva Yu.L., Orlova L.P., Moskalev A.I., Skridlevskiy S.N., Belov D.M., Shakhmatov D.G., Achkasov S.I.

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Journal: Pirogov Russian Journal of Surgery. 2020;(9): 14‑19

DOI: 10.17116/hirurgia202009114

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To cite this article:

Trubacheva YuL, Orlova LP, Moskalev AI, Skridlevskiy SN, Belov DM, Shakhmatov DG, Achkasov SI. Ultrasound diagnosis of chronic paracolic inflammatory mass in diverticular disease. Pirogov Russian Journal of Surgery. 2020;(9):14‑19. (In Russ.)
https://doi.org/10.17116/hirurgia202009114

Подписка 2025 (Pirogov Russian Journal of Surgery)

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OBJECTIVE

To evaluate the feasibility of ultrasound in diagnosis of chronic paracolic inflammatory mass in patients with diverticular disease.

MATERIAL AND METHODS

We analyzed ultrasonic findings in 216 patients with chronic inflammatory complications of colonic diverticular disease. Chronic paracolic inflammatory mass as the most common and significant chronic complication of diverticular disease was analyzed in 116 patients. Ultrasonic findings were compared with specimen assessment, intraoperative data, irrigoscopy, colonoscopy, endoscopic ultrasound and computed tomography data.

RESULTS

Sensitivity of ultrasound for diagnosis of chronic paracolic inflammatory mass was 76,7%, specificity — 100%, overall accuracy — 87,5%. CT and endoscopic ultrasound were the most informative among different diagnostic tools (sensitivity 79,6% and 77,8%, respectively).

CONCLUSION

Ultrasonic examination and computed tomography are the most valuable methods for diagnosis of chronic paracolic inflammatory mass in patients with diverticular disease. Ultrasound is a first-line method for diagnosis and follow-up of complicated diverticular disease due to its availability, safety and unnecessary special preparation of patients.

Keywords:

ultrasonic examination

diverticular disease

chronic inflammatory mass

ultrasonic colonoscopy

Authors:

Trubacheva Yu.L.

Ryzhikh National Medical Research Centre of Coloproctology

Orlova L.P.

Ryzhikh National Medical Research Centre of Coloproctology

Moskalev A.I.

Ryzhikh National Medical Research Centre of Coloproctology

Skridlevskiy S.N.

Ryzhikh National Medical Research Centre of Coloproctology

Belov D.M.

Ryzhikh National Medical Research Centre of Coloproctology

Shakhmatov D.G.

Ryzhikh National Medical Research Centre of Coloproctology;
Russian Medical Academy of Postgraduate Education

Achkasov S.I.

State Research Centre of Coloproctology

Received:

21.04.2020

Accepted:

10.05.2020

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