GLUTARALDEHYDE COLITIS - RADIOLOGIC FINDINGS

被引:20
作者
BIRNBAUM, BA
GORDON, RB
JACOBS, JE
机构
[1] VET ADM MED CTR,DEPT RADIOL,NEW YORK,NY
[2] NYU,MED CTR,NEW YORK,NY
关键词
COLITIS; COLONOSCOPY; ENDOSCOPY; GLUTARALDEHYDE;
D O I
10.1148/radiology.195.1.7892453
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
PURPOSE: Two percent glutaraldehyde on colonic mucosa may result in a toxic colitis, and the clinical features may mimic those of colonic ischemia. The study was performed to determine the radiologic appearance of glutaraldehyde-induced toxic colitis. MATERIALS AND METHODS: A retrospective review was performed with the clinical and imaging findings in four patients with glutaraldehyde-induced colitis seen during a 6-year period. RESULTS: Patients developed a self-limited syndrome of cramps and abdominal pain, tenesmus, and rectal bleeding within 48 hours of uncomplicated sigmoidoscopy or colonoscopy. Sample cultures excluded enteric pathogens. Computed tomography (CT) demonstrated circumferential thickening of the colonic wall in a left-sided distribution in all patients. Heterogeneous mural enhancement (target-sign appearance) was noted in two patients. Follow-up CT studies confirmed resolution of mural wall thickening with conservative management. CONCLUSION: The clinical and radiologic features of glutaraldehyde-induced toxic colitis may mimic those of colonic ischemia. This complication should be suspected in patients who develop hemorrhagic colitis immediately after undergoing colonoscopy.
引用
收藏
页码:131 / 134
页数:4
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