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Plain abdominal radiography shows abnormalities in 30\u201350 per cent of patients but these tend to be non-specific and more accurate information is obtainable from a contrast enema. Although the quality of images produced by a water-soluble contrast agent is inferior to that with barium, the former is less hazardous in the presence of perforation and provides sufficient information to permit rational management decisions to be made. Ultrasonography and computed tomography (CT) are particularly useful in visualizing abscesses. They may be helpful in following the progression or resolution of suppuration and in guiding percutaneous aspiration when appropriate. Despite early reports to the contrary, CT is no more specific than a contrast enema in the diagnosis of acute diverticulitis. Radionuclide scans have little role in the routine assessment of acute diverticulitis and magnetic resonance imaging has not been adequately evaluated. Water-soluble contrast enema is safe, widely available and probably the most useful early supplementary investigation.<\/jats:p>","DOI":"10.1002\/bjs.1800800506","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T17:46:16Z","timestamp":1172943976000},"page":"560-565","source":"Crossref","is-referenced-by-count":48,"title":["Radiological investigation in acute diverticulitis"],"prefix":"10.1093","volume":"80","author":[{"given":"R F","family":"McKee","sequence":"first","affiliation":[{"name":"Department of Surgery, Aberdeen Royal Infirmary , Foresterhill, Aberdeen AB9 2ZB,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R W","family":"Deignan","sequence":"additional","affiliation":[{"name":"Department of Radiology, Aberdeen Royal Infirmary , Foresterhill, Aberdeen AB9 2ZB,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Z H","family":"Krukowski","sequence":"additional","affiliation":[{"name":"Department of Surgery, Aberdeen Royal Infirmary , Foresterhill, Aberdeen AB9 2ZB,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1993,5,1]]},"reference":[{"key":"2024092812420158600_bib1","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1016\/S0300-5089(21)00094-8","article-title":"Diverticular disease of the colon, a 20th century problem","volume":"4","author":"Painter","year":"1975","journal-title":"Clin Gastroenterol"},{"key":"2024092812420158600_bib2","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1016\/S0889-8553(21)00367-8","article-title":"Diverticulitis","volume":"17","author":"Pohlman","year":"1988","journal-title":"Gastroenterol Clin North Am"},{"key":"2024092812420158600_bib3","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1056\/NEJM198002073020605","article-title":"Diverticular disease of the colon","volume":"302","author":"Almy","year":"1980","journal-title":"N Engl J Med"},{"key":"2024092812420158600_bib4","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1016\/S0300-5089(21)00097-3","article-title":"Natural history of diverticular disease of the colon","volume":"4","author":"Parks","year":"1975","journal-title":"Clin Gastroenterol"},{"key":"2024092812420158600_bib5","doi-asserted-by":"crossref","first-page":"775","DOI":"10.1002\/bjs.1800571021","article-title":"The outcome in 455 patients admitted for treatment of diverticular disease of the colon","volume":"57","author":"Parks","year":"1970","journal-title":"Br J Surg"},{"key":"2024092812420158600_bib6","doi-asserted-by":"crossref","first-page":"734","DOI":"10.1016\/S0016-5085(76)80352-6","article-title":"Medical and surgical therapy in diverticular disease","volume":"71","author":"Larson","year":"1976","journal-title":"Gastroenterology"},{"key":"2024092812420158600_bib7","doi-asserted-by":"crossref","first-page":"537","DOI":"10.1002\/bjs.1800620709","article-title":"The changing pattern of hospital admissions for diverticular disease of the colon","volume":"62","author":"Kyle","year":"1975","journal-title":"Br J Surg"},{"key":"2024092812420158600_bib8","doi-asserted-by":"crossref","first-page":"921","DOI":"10.1002\/bjs.1800711202","article-title":"Emergency surgery for diverticular disease complicated by generalized and faecal peritonitis: a review","volume":"71","author":"Krukowski","year":"1984","journal-title":"Br J Surg"},{"key":"2024092812420158600_bib9","doi-asserted-by":"crossref","first-page":"684","DOI":"10.1002\/bjs.1800720904","article-title":"Evolving practice in acute diverticulitis","volume":"72","author":"Krukowski","year":"1985","journal-title":"Br J Surg"},{"key":"2024092812420158600_bib10","first-page":"278","article-title":"Evaluation of current surgical management of acute inflammatory diverticular disease","volume":"73","author":"Sarin","year":"1991","journal-title":"Ann R Coll Surg Engl"},{"key":"2024092812420158600_bib11","doi-asserted-by":"crossref","first-page":"801","DOI":"10.1111\/j.1445-2197.1988.tb00983.x","article-title":"Acute diverticulitis. 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