Advertisement
Review Article| Volume 59, ISSUE 4, P647-660, July 2021

Spectrum and Relevance of Incidental Bowel Findings on Computed Tomography

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribers receive full online access to your subscription and archive of back issues up to and including 2002.

      Content published before 2002 is available via pay-per-view purchase only.

      Subscribe:

      Subscribe to Radiologic Clinics
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Troppmann M.
        • Lippert E.
        • Hamer O.W.
        • et al.
        Colonic bowel wall thickening: is there a need for endoscopic evaluation?.
        Int J Colorectal Dis. 2012; 27: 601-604
        • Bleibel W.
        • Guerrero J.E.
        • Kim S.
        • et al.
        The clinical significance of incidental computer tomography finding of gastrointestinal luminal wall thickening as evaluated by endoscopy.
        Dig Dis Sci. 2007; 52: 1709-1712
        • Desai R.K.
        • Tagliabue J.R.
        • Wegryn S.A.
        • et al.
        CT evaluation of wall thickening in the alimentary tract.
        Radiographics. 1991; 11 ([discussion 784]): 771-783
        • Macari M.
        • Balthazar E.J.
        CT of bowel wall thickening: significance and pitfalls of interpretation.
        AJR Am J Roentgenol. 2001; 176: 1105-1116
        • Gore R.M.
        • Balthazar E.J.
        • Ghahremani G.G.
        • et al.
        CT features of ulcerative colitis and Crohn's disease.
        AJR Am J Roentgenol. 1996; 167: 3-15
        • James S.
        • Balfe D.M.
        • Lee J.K.
        • et al.
        Small-bowel disease: categorization by CT examination.
        AJR Am J Roentgenol. 1987; 148: 863-868
        • Horton K.M.
        • Corl F.M.
        • Fishman E.K.
        CT evaluation of the colon: inflammatory disease.
        Radiographics. 2000; 20: 399-418
        • Akcalar S.
        • Turkbey B.
        • Karcaaltincaba M.
        • et al.
        Small bowel wall thickening: MDCT evaluation in the emergency room.
        Emerg Radiol. 2011; : 409-415
        • Kelly M.E.
        • Heeney A.
        • Redmond C.E.
        • et al.
        Incidental findings detected on emergency abdominal CT scans: a 1-year review.
        Abdom Imaging. 2015; 40: 1853-1857
        • Chandrapalan S.
        • Tahir F.
        • Kimani P.
        • et al.
        Systematic review and meta-analysis: does colonic mural thickening on CT correlate with endoscopic findings at colonoscopy?.
        Frontline Gastroenterol. 2018; 9: 278-284
        • Eskaros S.
        • Ghevariya V.
        • Diamond I.
        • et al.
        Correlation of incidental colorectal wall thickening at CT compared to colonoscopy.
        Emerg Radiol. 2009; 16: 473-476
        • Uzzaman M.M.
        • Alam A.
        • Nair M.S.
        • et al.
        Computed tomography findings of bowel wall thickening: its significance and relationship to endoscopic abnormalities.
        Ann R Coll Surg Engl. 2012; 94: 23-27
        • Ozel B.
        • Pickhardt P.J.
        • Kim D.H.
        • et al.
        Accuracy of routine nontargeted CT without colonography technique for the detection of large colorectal polyps and cancer.
        Dis Colon Rectum. 2010; 53: 911-918
        • Cai Q.
        • Baumgarten D.A.
        • Affronti J.P.
        • et al.
        Incidental findings of thickening luminal gastrointestinal organs on computed tomography: an absolute indication for endoscopy.
        Am J Gastroenterol. 2003; 98: 1734-1737
        • Tellez-Avila F.I.
        • García-Osogobio S.
        • Chavez-Tapia N.C.
        • et al.
        Utility of endoscopy in patients with incidental gastrointestinal luminal wall thickening detected with CT.
        Surg Endosc. 2009; 23: 2191-2196
        • Hines J.J.
        • Paek G.K.
        • Lee P.
        • et al.
        Beyond appendicitis; radiologic review of unusual and rare pathology of the appendix.
        Abdom Radiol (NY). 2016; 41: 568-581
        • Thompson W.M.
        Imaging and findings of lipomas of the gastrointestinal tract.
        AJR Am J Roentgenol. 2005; 184: 1163-1171
        • Ormsby E.L.
        • Duffield C.
        • Ostovar-Sirjani F.
        • et al.
        Colonoscopy findings in end-stage liver disease patients with incidental CT colonic wall thickening.
        AJR Am J Roentgenol. 2007; 189: 1112-1117
        • Rezvani M.
        • Menias C.
        • Sandrasegaran K.
        • et al.
        Heterotopic pancreas: histopathologic features, imaging findings, and complications.
        Radiographics. 2017; 37: 484-499
        • Woodward P.J.
        • Sohaey R.
        • Mezzetti Jr., T.P.
        Endometriosis: radiologic-pathologic correlation.
        Radiographics. 2001; 21: 193-294
        • Lake S.T.
        • Johnson P.T.
        • Kawamoto S.
        • et al.
        CT of splenosis: patterns and pitfalls.
        AJR Am J Roentgenol. 2012; 199: W686-W693
        • Khalil P.N.
        • Huber-Wagner S.
        • Ladurner R.
        • et al.
        Natural history, clinical pattern, and surgical considerations of pneumatosis intestinalis.
        Eur J Med Res. 2009; 14: 231-239
        • Heng Y.
        • Schuffler M.D.
        • Haggitt R.C.
        • et al.
        Pneumatosis intestinalis: a review.
        Am J Gastroenterol. 1995; 90: 1747-1758
        • Sassi C.
        • Pasquali M.
        • Facchini G.
        • et al.
        Pneumatosis intestinalis in oncologic patients: when should the radiologist not be afraid?.
        BJR Case Rep. 2016; 3: 20160017
        • Hoot N.R.
        • Pfennig C.L.
        • Johnston M.N.
        • et al.
        An incidental finding? Pneumatosis intestinalis after minor trauma.
        J Emerg Med. 2013; 44: e145-e147
        • Wang Y.J.
        • Wang Y.M.
        • Zheng Y.M.
        • et al.
        Pneumatosis cystoides intestinalis: six case reports and a review of the literature.
        BMC Gastroenterol. 2018; 18: 100
        • Lassandro G.
        • Picchi S.G.
        • Romano F.
        • et al.
        Intestinal pneumatosis: differential diagnosis [published online ahead of print, 2020 Jul 31].
        Abdom Radiol (NY). 2020; https://doi.org/10.1007/s00261-020-02639-8
        • Ho L.M.
        • Paulson E.K.
        • Thompson W.M.
        Pneumatosis intestinalis in the adult: benign to life-threatening causes.
        AJR Am J Roentgenol. 2007; 188: 1604-1613
        • Ezuka A.
        • Kawana K.
        • Nagase H.
        • et al.
        Improvement of pneumatosis cystoides intestinalis after steroid tapering in a patient with bronchial asthma: a case report.
        J Med Case Rep. 2013; 7: 163
        • Nakagawa S.
        • Akimoto T.
        • Takeda S.
        • et al.
        Antineutrophil cytoplasmic antibody-associated glomerulonephritis complicated by pneumatosis intestinalis.
        Clin Med Insights Case Rep. 2015; 8: 65-70
        • Kwon H.J.
        • Kim K.W.
        • Song G.W.
        • et al.
        Pneumatosis intestinalis after liver transplantation.
        Eur J Radiol. 2011; 80: 629-636
        • Lee K.S.
        • Hwang S.
        • Hurtado Rúa S.M.
        • et al.
        Distinguishing benign and life-threatening pneumatosis intestinalis in patients with cancer by CT imaging features.
        AJR Am J Roentgenol. 2013; 200: 1042-1047
        • Ceuppens A.S.
        • Dhont S.
        • Sneyers B.
        • et al.
        Jejuno-ileal diverticulosis: a review of literature.
        Acta Gastroenterol Belg. 2018; 81: 517-519
        • Levine M.
        Miscellaneous abnormalities of the esophagus.
        in: Gore R.M. Levine M.S. Textbook of gastrointestinal radiology. 3rd edition. Saunders Elsevier, Philadelphia2008: 475-479
        • Coulier B.
        • Maldague P.
        • Bourgeois A.
        • et al.
        Diverticulitis of the small bowel: CT diagnosis.
        Abdom Imaging. 2007; 32: 228-233
        • Shuck J.M.
        • Stallion A.
        Duodenal diverticula.
        in: Holzheimer R.G. Mannick J.A. Surgical treatment: evidence-based and problem-oriented. Zuckschwerdt, Munich (Germany)2001
        • Hines J.
        • Rosenblat J.
        • Duncan D.R.
        • et al.
        Perforation of the mesenteric small bowel: etiologies and CT findings.
        Emerg Radiol. 2013; 20: 155-161
        • Bennett G.L.
        • Birnbaum B.A.
        • Balthazar E.J.
        CT of Meckel's diverticulitis in 11 patients.
        AJR Am J Roentgenol. 2004; 182: 625-629
        • Elsayes K.M.
        • Menias C.O.
        • Harvin H.J.
        • et al.
        Imaging manifestations of Meckel's diverticulum.
        AJR Am J Roentgenol. 2007; 189: 81-88
        • Gore R.M.
        • Yaghmai V.
        Diverticular disease of the colon.
        in: Gore R.M. Levine M.S. Textbook of gastrointestinal radiology. 3rd edition. Saunders Elsevier, Philadelphia2008: 1019
        • Rubesin S.E.
        • Gore R.M.
        Small bowel obstruction.
        in: Gore R.M. Levine M.S. Textbook of gastrointestinal radiology. 3rd edition. Saunders Elsevier, Philadelphia2008: 871
        • Katz D.S.
        • Scheirey C.D.
        • Bordia R.
        • et al.
        Computed tomography of miscellaneous regional and diffuse small bowel disorders.
        Radiol Clin North Am. 2013; 51: 45-68
        • Choi J.S.
        • Lim J.S.
        • Kim H.
        • et al.
        Colonic pseudoobstruction: CT findings.
        AJR Am J Roentgenol. 2008; 190: 1521-1526
        • Gore R.M.
        Colon: differential diagnosis.
        in: Gore R.M. Levine M.S. Textbook of gastrointestinal radiology. 3rd edition. Saunders Elsevier, Philadelphia2008: 1248
        • Chou C.K.
        • Mak C.W.
        • Huang M.C.
        • et al.
        Differentiation of obstructive from non-obstructive small bowel dilatation on CT.
        Eur J Radiol. 2000; 35: 213-220
        • Azar T.
        • Berger D.L.
        Adult intussusception.
        Ann Surg. 1997; 226: 134-138
        • Waseem M.
        • Rosenberg H.K.
        Intussusception.
        Pediatr Emerg Care. 2008; 24: 793-800
        • Marinis A.
        • Yiallourou A.
        • Samanides L.
        • et al.
        Intussusception of the bowel in adults: a review.
        World J Gastroenterol. 2009; 15: 407-411
        • Kim Y.H.
        • Blake M.A.
        • Harisinghani M.G.
        • et al.
        Adult intestinal intussusception: CT appearances and identification of a causative lead point.
        Radiographics. 2006; 26: 733-744
        • Napora T.E.
        • Henry K.E.
        • Lovett T.J.
        • et al.
        Transient adult jejunal intussusception.
        J Emerg Med. 2003; 24: 395-400
        • Gayer G.
        • Apter S.
        • Hofmann C.
        • et al.
        Intussusception in adults: CT diagnosis.
        Clin Radiol. 1998; 53: 53-57
        • Lvoff N.
        • Breiman R.S.
        • Coakley F.V.
        • et al.
        Distinguishing features of self-limiting adult small-bowel intussusception identified at CT.
        Radiology. 2003; 227: 68-72
        • Rea J.D.
        • Lockhart M.E.
        • Yarbrough D.E.
        • et al.
        Approach to management of intussusception in adults: a new paradigm in the computed tomography era.
        Am Surg. 2007; 73: 1098-1105
        • Ahualli J.
        The fat halo sign.
        Radiology. 2007; 242: 945-946
        • Philpotts L.E.
        • Heiken J.P.
        • Westcott M.A.
        • et al.
        Colitis: use of CT findings in differential diagnosis.
        Radiology. 1994; 190: 445-449
        • Jones B.
        • Fishman E.K.
        • Hamilton S.R.
        • et al.
        Submucosal accumulation of fat in inflammatory bowel disease: CT/pathologic correlation.
        J Comput Assist Tomogr. 1986; 10: 759-763
        • Muldowney S.M.
        • Balfe D.M.
        • Hammerman A.
        • et al.
        "Acute" fat deposition in bowel wall submucosa: CT appearance.
        J Comput Assist Tomogr. 1995; 19: 390-393
        • Harisinghani M.G.
        • Wittenberg J.
        • Lee W.
        • et al.
        Bowel wall fat halo sign in patients without intestinal disease.
        AJR Am J Roentgenol. 2003; 181: 781-784