Colonic diveiculosis is best diagnosed by
Correct Answer: Barium enema
Description: Investigations * Barium enema (best method to diagnose) shows 'sawteeth' appearance. Champagne glass sign--Paial filling of diveicula by barium with stercolith inside-- seen in sigmoid diveicula. * Sigmoidoscopy is useful but should not be done in acute stage. Once acute stage subsides, barium enema, sigmoidoscopy, colonoscopy can be done (To rule out associated malignancy). * CT scan in acute phase to see pericolic abscess. CT scan shows thickening of muscle layer, abscess, perforation, fistula, involvement of organs like urinary bladder and associated pathology. CT is the ideal investigation. ref:SRB &;s manual of surgery,ed 3,pg no-822
Category:
Surgery
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