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