The diagnosis of colonic fistulae is crucial in defining the best therapeutic approach.
Fistulae can be suspected from clinical history or specific symptoms, but imaging
plays a key role in confirming the diagnosis. Previous studies described conventional
studies with barium as methods of choice for the diagnosis; more recently intestinal
ultrasound, CT and MR have been considered promising tests. CT Colonography is the
best radiologic test to evaluate the colon, but only few case reports described its
role in this setting. Aim of this paper is to highlight the potentials of CT colonography
in evaluating patients with suspected colonic fistulae.
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 accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Academic RadiologyAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
REFERENCES
- Acquired Gastrointestinal Fistulas: Classification, Etiologies, and Imaging Evaluation.Radiology. 2002; 224: 9-23https://doi.org/10.1148/radiol.2241011185
- Pelvic fistulas: appearances on MR images.Abdom Imaging. 1997; 22: 91-95https://doi.org/10.1007/s002619900148
- Surgical treatment of complex small bowel Crohn disease.Ann Sur. 2014; 260: 230-235https://doi.org/10.1097/SLA.0000000000000697
- Update on the management of sigmoid diverticulitis.World J Gastroenterol 2021. 2021; 27 (PMCID: PMC794186 PMID33727769): 760-781https://doi.org/10.3748/wjg.v27.i9.760
- Colovesical fistula as a complication of colonic diverticulosis: diagnosis with virtual colonoscopy.Turkish J Gastroenterol. 2011; 22: 86-88https://doi.org/10.4318/tjg.2011.0163
- Medical image. CT colonography for colovesical fistula.New Zeal Med J. 2008; 121
- Diagnosis of colopulmonary fistula by virtual colonoscopy.Gastrointest Endosc. 2008; 67: 769-771https://doi.org/10.1016/j.gie.2007.08.016
- Detection of retroperitoneal fistula of the colon by CT colonography.Indian J Gastroenterol Off J Indian Soc Gastroenterol. 2008; 27: 256
- The second ESGAR consensus statement on CT colonography.Eur Radiol. 2013; 23: 720-729https://doi.org/10.1007/s00330-012-2632-x
- Performance of CT Colonography in diagnosis of synchronous colonic lesions in patients with occlusive colorectal cancer.AJR. 2020; 214: 348-354
- Volumetric analysis of colonic distention according to patient position at CT colonography: diagnostic value of the right lateral decubitus series.Am J Roentgenol. 2014; 203: W623-W628https://doi.org/10.2214/AJR.13.12369
- CT in the diagnosis of enterovesical fistulae.Am J Roentgenol. 1985; 144: 1229-1233https://doi.org/10.2214/ajr.144.6.1229
- Involvement in Crohn Disease.J Comput Assist Tomogr. 1989; 13: 90-93https://doi.org/10.1097/00004728-198901000-00019
- Pelvic fistulas: findings on MR images.Am J Roentgenol. 1993; 160: 327-330https://doi.org/10.2214/ajr.160.2.8424344
- MR Imaging classification of perianal fistulas and its implications for patient management.RadioGraphics. 2000; 20: 623-635https://doi.org/10.1148/radiographics.20.3.g00mc15623
- Contrast radiology, computed tomography and ultrasonography in detecting internal fistulas and intra-abdominal abscesses in Crohn's disease: a prospective comparative study.Am J Gastroenterol. 2003; 98: 1545-1555
- Gastrointestinal Internal fistulas in Crohn’ s disease.Dis Colon Rectum. 2021; 64: 24-27
- Surgical management of complex enteric fistulas in Crohn's disease.Clin Colon Rectal Surg. 2019; 32: 268-272https://doi.org/10.1055/s-0039.1683909
- The current role of radiologic and endoscopic imaging in the diagnosis and follow-up of colonic diverticular disease.Am J Roentgenol. 2016; 207: 15-24https://doi.org/10.2214/AJR.16.16138
- Acute diverticulitis: key features for guiding clinical management.Eur J Radiol. 2020; 128 (109026)109026https://doi.org/10.1016/j.ejrad2020
Article info
Publication history
Published online: August 03, 2022
Accepted:
July 8,
2022
Received in revised form:
July 6,
2022
Received:
June 18,
2022
Identification
Copyright
© 2022 The Association of University Radiologists. Published by Elsevier Inc. All rights reserved.
