Scribd Logo
Upload

Welcome to Scribd!

  • 2K views

    Imaging of Colon N Rectum

    Uploaded by

    Samuel Inbaraja
    The document discusses various imaging techniques used to evaluate diseases of the colon and rectum. It describes findings on barium enema, CT, MRI, ultrasound and nuclear imaging in conditions such as ulcerative colitis, Crohn's disease, infectious colitis, ischemic colitis, diverticulitis, and colon and rectal cancers. Imaging findings include mural thickening, strictures, ulcers, pseudopolyps, fistulas, inflammation, obstruction, and metastases. A variety of imaging modalities are used to establish diagnoses and monitor treatment response.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd

    Imaging of Colon N Rectum

    Uploaded by

    Samuel Inbaraja
    2K views68 pages
    The document discusses various imaging techniques used to evaluate diseases of the colon and rectum. It describes findings on barium enema, CT, MRI, ultrasound and nuclear imaging in conditions such as ulcerative colitis, Crohn's disease, infectious colitis, ischemic colitis, diverticulitis, and colon and rectal cancers. Imaging findings include mural thickening, strictures, ulcers, pseudopolyps, fistulas, inflammation, obstruction, and metastases. A variety of imaging modalities are used to establish diagnoses and monitor treatment response.

    Copyright

    © Attribution Non-Commercial (BY-NC)

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    The document discusses various imaging techniques used to evaluate diseases of the colon and rectum. It describes findings on barium enema, CT, MRI, ultrasound and nuclear imaging in conditions such as ulcerative colitis, Crohn's disease, infectious colitis, ischemic colitis, diverticulitis, and colon and rectal cancers. Imaging findings include mural thickening, strictures, ulcers, pseudopolyps, fistulas, inflammation, obstruction, and metastases. A variety of imaging modalities are used to establish diagnoses and monitor treatment response.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    2K views68 pages

    Imaging of Colon N Rectum

    Uploaded by

    Samuel Inbaraja
    The document discusses various imaging techniques used to evaluate diseases of the colon and rectum. It describes findings on barium enema, CT, MRI, ultrasound and nuclear imaging in conditions such as ulcerative colitis, Crohn's disease, infectious colitis, ischemic colitis, diverticulitis, and colon and rectal cancers. Imaging findings include mural thickening, strictures, ulcers, pseudopolyps, fistulas, inflammation, obstruction, and metastases. A variety of imaging modalities are used to establish diagnoses and monitor treatment response.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 68

    IMAGING OF COLON & RECTUM

    COLON

    ULCERATIVE COLITIS

    DOUBLE CONTRAST STUDY : Transverse and descending colon show early changes 1. Granular Mucosa 2. Loss of haustrations 3. luminal narrowing

    DOUBLE CONTRAST BARIUM ENEMA

    EXTENSIVE COLITIS, PSEUDOPOLYPOSIS

    PLAIN RADIOGRAPH

    PLAIN RADIOGRAPH SHOWS THUMB PRINTING IN THE SPLENIC FLEXURE OF COLON

    TOXIC MEGACOLON

    MUCOSAL EDEMA AND TOXIC MEGACOLON

    INCREASED POST RECTAL SPACE

    DOUBLE CONTRAST ENEMA STRICTURE OF SIGMOID COLON

    STRICTURE /SPASM OF ASCENDING COLON , PSEUDOPOLYPOSIS DESCENDING COLON

    TOTAL COLITIS AND EXTENSIVE MUCOSAL ULCERS

    NUCLEAR IMAGING

    Technetium-99m hexamethylpropylamine oxime (HMPAO) TAGGED WBCs Scan

    CT

    THICKENING OF THE WALL OF SIGMOID COLON WITH MINIMAL INFLAMMATORY STRANDING

    SUBMUCOSAL FAT HALO (ARROWS) AND PERIRECTAL FIBROFATTY PROLIFERATION (AST)

    CROHN'S DISEASE

    DOUBLE CONTRAST BARIUM ENEMA APHTOUS ULCERS

    SMALL BOWEL FOLLOW THROUGH TERMINAL ILEUM STRING SIGN OF CANTOR

    SMALL BOWEL FOLLOW THROUGH COBBLESTONING IN TERMINAL ILEUM DUE TO TRANSVERSE AND LONGITUDINAL ULCERATION

    USG

    HYPOECHOIC WALL THICKENING OF TERMINALILEUM AND COLON

    THICKENED BOWEL WALL PSEUDO KIDNEY APPEARANCE

    CT :

    CT NON ENHANCED TERMINAL ILEUM BOWEL WALL THICKENING ,FAT STRANDING AND NODAL ENLARGEMENT

    CROHN'S COLITIS WALL THICKENING AND PERICOLIC FAT STRANDING

    CHRONIC CHRON'S WITH NO PERICOLIC INFLAMMATION BUT WITH FATTY CHANGE ,CREEPING FAT WHICH SEPARATES IT FROM THE REST OF THE BOWEL

    MRI

    T1W IMAGE FAT PROLIFERTION AROUND COLON AND INTRAMURAL FAT DEPOSITION

    ENTEROENTERIC FISTULA

    COLOCUTANEOUS FISTULA

    ENTEROCOLIC FISTULA DOUBLE TRACKING OF ILEOCAECAL VALVE

    ENTERO VESICAL FISTULA

    ENTEROVESICAL FISTULA WITH BLADDER WALL THICKENING AND AIR IN THE BLADDER

    INFECTIVE COLITIS

    SHIGELLA COLITIS BARIUM ENEMA LOSS OF HAUSTRATIONS ,DECREASE IN CALIBRE AND ULCERATION

    SINGLE CONTRAST BARIUM EXTENSIVE MUCOSAL ULCERATION SHIGELLA COLITIS

    DOUBLE CONTRAST ENEMA GRANULAR MUCOSA CAMPYLOBACTER JEJUNI COLITIS

    ISCHAEMIC COLITIS

    WALL THICKENING WITH GAS

    SCHEMATIC DIAGRAM SHOWING

    CECT DIFFUSE ISCHAEMIC COLITIS WALL THICKENING , SUBMUCOSAL EDEMA HYPOATTENUATING SIGNAL . HALO SIGN.

    QUADRANT IN CT WITH IV AND ORAL CONTRAST

    SEGMENTAL COLITIS LEFT LOWER

    THICKENING AND SB WALL THICKENING. ATHEROSCLEROSIS IN AORTA IS SEEN

    SMV THROMBOSIS , COLONIC WALL

    CECT SPIRAL CT SHOWS COLONIC AND SMALL BOWEL WALL THICKENING SMA THROMBOSIS DIAGOSIS :ISCHAEMIC COLITIS

    AND INFARCTION

    PNEUMATOSIS COLI DUE TO ISCHAEMIA

    PSEUDOMEMBRANOUS COLITIS

    CECT SPIRAL CT

    COLONIC WALL THICKENING AND PERICOLIC INFLAMMATION

    CECT IV AND ORAL CONTRAST WALL THICKENING AND HYPOATTENUATION EDEMA MUCOSAL ENHANCEMENT HYPERATTENUATION INFLAMMATION DIAGNOSIS : PSEUDOMEMBRANOUS COLITIS

    CECT WALL THICKENING AND ACCORDION SIGN

    DIVERTICULITIS

    SCHEMATIC DIAGRAM

    INFLAMMATION

    DIVERTICULOSIS IN CECT WITHOUT

    CECT - DIVETICULITIS WALL THICKENING AND PERICOLIC INFLAMMATION

    COLON AND COLLECTION BETWEEN SIGMOID COLON AND BLADDER

    CECT WALL THICKENING IN SIGMOID

    SINGLE CONTRAST BARIUM STUDY

    SIGMOID COLON DIVERTICULAR ABSCESS REPRESENTED BY COLONIC TETHERING

    DIVERTICULITIS WITH COLOVESCICAL FISTULA

    COLON CANCER
    ADENOCARCINOMA

    PLAIN RADIOGRAPH TO DIAGNOSE PERFORATION

    DOUBLE CONTRAST BARIUM STUDIES:

    5% CASES HAVE MORE THAN ONE CA AT DETECTION. HERE 2 ANNULAR CA ARE SEEN IN CAECUM AND SPLENIC FLEXURE. 3 MORPHOLGICAL TYPES: 1.POLYPOID TYPE:

    POLYPOID MASS IN RECTO SIGMOID

    2. ANNULAR

    ANNULAR CA -CIRCUMFERENTIAL MASS LUMEN NARROWING SHOULDERING OVERHANGING EDGES

    3 . FLAT

    CT:

    CAECAL WALL THICKENING AND PERICOLIC FAT INFILTERATION

    IRREGULAR SOFT TISSUE MASS INVOLVING SIGMOID COLON

    RETROPERITONEAL LYMPHADENOPATHY

    PORTAL NODES AND HEPATIC METASTASES

    RECTAL METASTASES WITH ENHANCING MASS IN THE RECTAL SHEATH

    USG :

    THICKENING OF THE CAECAL WALL IN USG SEEN AS HYPOECHOIC WALL THICKENING

    INTSSUSCEPTION WITH CAECAL CARCINOMA

    RECTAL CANCER
    DOUBLE CONTRAST BARIUM STUDIES

    POLYPOID CANCER IN UPPER RECTUM

    ANNULAR CARCINOMA -UPPER RECTUM

    CT :

    WALL THICKENING RECTAL CARCINOMA

    CIRCUMFERENCIAL WALL THICKENING

    PRESACRAL RECURRENCE OF CA RECTUM

    HEPATIC METS ON CT

    MRI:

    MURAL WALL THICKENING AND EXTENSION TO PERIRECTAL FAT

    HYPERECHOIC HEPATIC METS ON USG

    HYPOECHOIC LIVER METASTASES

    TRANSRECTAL USG TUMOR LEFT SIDE 12' O CLOCK POSITION- LYMPH NODE

    THE

    END

    You might also like