Table 8.
Summary of CT findings of colitides and enteritides in the immune compromised host.
Bowel wall thickening (%) | Wall nodularity (%) | Contrast enhancement (%) | Bowel dilatation (%) | Mesenteric stranding (%) | Ascites (%) | Distribution | Normal findings (%) | Discriminating features | |
---|---|---|---|---|---|---|---|---|---|
PMC | 86 (11–15 mm) | 38% | 18 (target enhancement) | 14 | 45 (mild) | 38 | Pancolonic (in 46%) | 14 | Accordion sign |
Typhlitis | 100 (7 mm) | 2% | 28 | 38 | 51 (pronounced) | 43 | Right colon ± small bowel | Pneumatosis intestinalis (20%) | |
CMV | 92 (15 mm) | 29 (target enhancement) | 92 | 42 | <5% pancolonic, 40% small bowel | 8 | Deep ulceration, adenopathy (16%) | ||
GVHD | 100 (small bowel), 59 (large bowel) | 54 | 23–86 | 73 | 28–45 | Splenomegaly (36%), peri-portal oedema (36%), GB wall enhancement (23%) |