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Colonic Wall Thickening: CT Imaging Insights from a Case Series

This case series examines the etiology of colonic wall thickening in eleven patients presenting with abdominal complaints. Utilizing CT imaging with and without contrast, the study identifies a variety of underlying causes, including infections (tuberculosis), inflammatory conditions (ulcerative colitis), vascular issues (ischemic colitis), and neoplastic factors (adenocarcinoma and lymphoma). By correlating CT findings with clinical presentations and histopathology, we highlight the essential role of CT imaging in the diagnosis, management, and staging of malignant lesions in the colon.

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Colonic Wall Thickening: CT Imaging Insights from a Case Series

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  1. ABSTRACT IRA 2014

  2. TITLE- COLONIC WALL THICKENING OF VARIOUS ETIOLOGY BY CT IMAGING- CASE SERIES

  3. AUTHORS: DR.D.KARTHIKEYAN, POST-GRADUATE, M.D.RADIO-DAIAGNOSIS, DR. SARAVANAN.K.C, Prof & H.O.D, DR.S.VINAYAGAM, Prof & Medical Superintendent, • DR.BULABAI KARPAGAM, Asso. Prof, • INSTITUITION: • DEPT. OF RADIO-DIAGNOSIS, • SRM MCH & RI, KATTANKULATHUR, • CHENNAI - 603203

  4. INTRODUCTION- Colonic wall thickening is one of the common findings in patients with abdominal complaints and it can be either short or long segment ,inflammatory or neoplastic etiology. Plain x ray, conventional barium enema , USG and CT and MRI enteroclysis are non invasive modalities useful in characterizing the bowel wall thickening.

  5. RESULTS- Of the 11 patients, 3 patients were found to have infective etiology (tuberculosis) 1 inflammatory (ulcerative colitis) ,1 vascular (ischemic colitis) , 4 were found to have neoplastic cause (adenocarcinoma in three and lymphoma in one patient and serosal deposits in 2 patients.

  6. METHODS AND MATERIALS- 11 patients with abdominal complaints who presented to Department of Radio-diagnosis, SRM MCH &RI between MAY 2014 - OCT 2014 were subjected to CT with and without oral and IV contrast. All the 11 patients underwent confirmatory procedure and were followed up.

  7. CONCLUSION- Spectrum of CT findings in various etiologic factors were described and correlated with clinical finding, other imaging modalities. CT plays a pivotal role in diagnosis, management and staging in malignant lesions. CT findings well correlated with the histopathology in our study series .

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