Imaging in infections of the left iliac fossa
Abstract The main organs in the left iliac fossa are the descending colon, sigmoid colon and, in women, internal reproductive organs. An infection of the left iliac fossa must lead the clinician firstly to suspect diverticulitis of the sigmoid colon in older patients and salpingitis in women of chil...
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| Veröffentlicht in: | Diagnostic and interventional imaging 2012-06, Vol.93 (6), p.466-472 |
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| creator | Le Pennec, V Hourna, E Schmutz, G Pelage, J.-P |
| description | Abstract The main organs in the left iliac fossa are the descending colon, sigmoid colon and, in women, internal reproductive organs. An infection of the left iliac fossa must lead the clinician firstly to suspect diverticulitis of the sigmoid colon in older patients and salpingitis in women of childbearing age. Other less common aetiologies are possible (inflammatory or infectious colitis, epiploic appendagitis, abscess of the psoas, pyelonephritis, renal abscess, etc.). Sonography as a first-line investigation may lead to diagnosis (especially in gynaecological disease), but a CT scan with intravenous injection of an iodine-containing contrast medium will allow for a full assessment of disease spread, and complications of sigmoid colitis or its differential diagnoses (abscess, fistula, perforation) to be investigated. It can also be used to guide percutaneous drainage or fine-needle aspiration for microbiology investigations. |
| doi_str_mv | 10.1016/j.diii.2012.03.006 |
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An infection of the left iliac fossa must lead the clinician firstly to suspect diverticulitis of the sigmoid colon in older patients and salpingitis in women of childbearing age. Other less common aetiologies are possible (inflammatory or infectious colitis, epiploic appendagitis, abscess of the psoas, pyelonephritis, renal abscess, etc.). Sonography as a first-line investigation may lead to diagnosis (especially in gynaecological disease), but a CT scan with intravenous injection of an iodine-containing contrast medium will allow for a full assessment of disease spread, and complications of sigmoid colitis or its differential diagnoses (abscess, fistula, perforation) to be investigated. It can also be used to guide percutaneous drainage or fine-needle aspiration for microbiology investigations.</description><identifier>ISSN: 2211-5684</identifier><identifier>EISSN: 2211-5684</identifier><identifier>DOI: 10.1016/j.diii.2012.03.006</identifier><identifier>PMID: 22521776</identifier><language>eng</language><publisher>France: Elsevier Masson SAS</publisher><subject>Abdomen ; Abdominal Abscess - diagnosis ; Abdominal Pain - etiology ; Abscess ; Colitis - diagnosis ; Colon ; Contrast Media - administration & dosage ; Diagnostic Imaging ; Diverticulitis, Colonic - diagnosis ; Diverticulum ; Female ; Fever of Unknown Origin - etiology ; Humans ; Ilium ; Infection - diagnosis ; Life Sciences ; Magnetic Resonance Imaging ; Male ; Radiology ; Salpingitis - diagnosis ; Sensitivity and Specificity ; Sigmoid Diseases - diagnosis ; Systemic Inflammatory Response Syndrome - diagnosis ; Systemic Inflammatory Response Syndrome - etiology ; Tomography, X-Ray Computed ; Ultrasonography ; Uterine tubes</subject><ispartof>Diagnostic and interventional imaging, 2012-06, Vol.93 (6), p.466-472</ispartof><rights>Éditions françaises de radiologie</rights><rights>2012 Éditions françaises de radiologie</rights><rights>Copyright © 2012 Éditions françaises de radiologie. 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An infection of the left iliac fossa must lead the clinician firstly to suspect diverticulitis of the sigmoid colon in older patients and salpingitis in women of childbearing age. Other less common aetiologies are possible (inflammatory or infectious colitis, epiploic appendagitis, abscess of the psoas, pyelonephritis, renal abscess, etc.). Sonography as a first-line investigation may lead to diagnosis (especially in gynaecological disease), but a CT scan with intravenous injection of an iodine-containing contrast medium will allow for a full assessment of disease spread, and complications of sigmoid colitis or its differential diagnoses (abscess, fistula, perforation) to be investigated. It can also be used to guide percutaneous drainage or fine-needle aspiration for microbiology investigations.</description><subject>Abdomen</subject><subject>Abdominal Abscess - diagnosis</subject><subject>Abdominal Pain - etiology</subject><subject>Abscess</subject><subject>Colitis - diagnosis</subject><subject>Colon</subject><subject>Contrast Media - administration & dosage</subject><subject>Diagnostic Imaging</subject><subject>Diverticulitis, Colonic - diagnosis</subject><subject>Diverticulum</subject><subject>Female</subject><subject>Fever of Unknown Origin - etiology</subject><subject>Humans</subject><subject>Ilium</subject><subject>Infection - diagnosis</subject><subject>Life Sciences</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Radiology</subject><subject>Salpingitis - diagnosis</subject><subject>Sensitivity and Specificity</subject><subject>Sigmoid Diseases - diagnosis</subject><subject>Systemic Inflammatory Response Syndrome - diagnosis</subject><subject>Systemic Inflammatory Response Syndrome - etiology</subject><subject>Tomography, X-Ray Computed</subject><subject>Ultrasonography</subject><subject>Uterine tubes</subject><issn>2211-5684</issn><issn>2211-5684</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kV1LHDEUhkOpVNH9A70oc9lezJiPSTIDpSBSXWHBC_X6kElO9GxnZ-xkV_DfN8OqFC8MgYTwvG_IE8a-Cl4JLszpugpEVEkuZMVVxbn5xI6kFKLUpqk__7c_ZIuU1jwPk4N1_YUdSqmlsNYcsfJq4-5puC9oyDOi39I4pGKMxfYBix7jtqCenC_imJI7YQfR9QkXL-sxu7v4fXu-LFfXl1fnZ6vS17w2pepsW2vnFSofnI6qw86aNliUtmuMsvnyyBUPxoVWCROb2ErEuguNbZQ26pj92Pc-uB4eJ9q46RlGR7A8W8F8xkWjldbtk8js9z37OI1_d5i2sKHkse_dgOMugeBZhNSNtBmVe9RP-TUTxrduwWG2CmuYrcJsFbiCrCyHvr3077oNhrfIq8MM_NwDmI08EU6QPOHgMdCUfUIY6eP-X-_ivqeBvOv_4DOm9bibhuwaBKScgZv5X-dvFZLnFinVP02cmXg</recordid><startdate>201206</startdate><enddate>201206</enddate><creator>Le Pennec, V</creator><creator>Hourna, E</creator><creator>Schmutz, G</creator><creator>Pelage, J.-P</creator><general>Elsevier Masson SAS</general><general>Elsevier</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>1XC</scope></search><sort><creationdate>201206</creationdate><title>Imaging in infections of the left iliac fossa</title><author>Le Pennec, V ; Hourna, E ; Schmutz, G ; Pelage, J.-P</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4046-3b7945ac3e3cda5f3beb769d7e27b8637217f030d6ad9316f8f92ee4bd8783563</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Abdomen</topic><topic>Abdominal Abscess - diagnosis</topic><topic>Abdominal Pain - etiology</topic><topic>Abscess</topic><topic>Colitis - diagnosis</topic><topic>Colon</topic><topic>Contrast Media - administration & dosage</topic><topic>Diagnostic Imaging</topic><topic>Diverticulitis, Colonic - diagnosis</topic><topic>Diverticulum</topic><topic>Female</topic><topic>Fever of Unknown Origin - etiology</topic><topic>Humans</topic><topic>Ilium</topic><topic>Infection - diagnosis</topic><topic>Life Sciences</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Radiology</topic><topic>Salpingitis - diagnosis</topic><topic>Sensitivity and Specificity</topic><topic>Sigmoid Diseases - diagnosis</topic><topic>Systemic Inflammatory Response Syndrome - diagnosis</topic><topic>Systemic Inflammatory Response Syndrome - etiology</topic><topic>Tomography, X-Ray Computed</topic><topic>Ultrasonography</topic><topic>Uterine tubes</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Le Pennec, V</creatorcontrib><creatorcontrib>Hourna, E</creatorcontrib><creatorcontrib>Schmutz, G</creatorcontrib><creatorcontrib>Pelage, J.-P</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><jtitle>Diagnostic and interventional imaging</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Le Pennec, V</au><au>Hourna, E</au><au>Schmutz, G</au><au>Pelage, J.-P</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Imaging in infections of the left iliac fossa</atitle><jtitle>Diagnostic and interventional imaging</jtitle><addtitle>Diagn Interv Imaging</addtitle><date>2012-06</date><risdate>2012</risdate><volume>93</volume><issue>6</issue><spage>466</spage><epage>472</epage><pages>466-472</pages><issn>2211-5684</issn><eissn>2211-5684</eissn><abstract>Abstract The main organs in the left iliac fossa are the descending colon, sigmoid colon and, in women, internal reproductive organs. An infection of the left iliac fossa must lead the clinician firstly to suspect diverticulitis of the sigmoid colon in older patients and salpingitis in women of childbearing age. Other less common aetiologies are possible (inflammatory or infectious colitis, epiploic appendagitis, abscess of the psoas, pyelonephritis, renal abscess, etc.). Sonography as a first-line investigation may lead to diagnosis (especially in gynaecological disease), but a CT scan with intravenous injection of an iodine-containing contrast medium will allow for a full assessment of disease spread, and complications of sigmoid colitis or its differential diagnoses (abscess, fistula, perforation) to be investigated. It can also be used to guide percutaneous drainage or fine-needle aspiration for microbiology investigations.</abstract><cop>France</cop><pub>Elsevier Masson SAS</pub><pmid>22521776</pmid><doi>10.1016/j.diii.2012.03.006</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Abdomen Abdominal Abscess - diagnosis Abdominal Pain - etiology Abscess Colitis - diagnosis Colon Contrast Media - administration & dosage Diagnostic Imaging Diverticulitis, Colonic - diagnosis Diverticulum Female Fever of Unknown Origin - etiology Humans Ilium Infection - diagnosis Life Sciences Magnetic Resonance Imaging Male Radiology Salpingitis - diagnosis Sensitivity and Specificity Sigmoid Diseases - diagnosis Systemic Inflammatory Response Syndrome - diagnosis Systemic Inflammatory Response Syndrome - etiology Tomography, X-Ray Computed Ultrasonography Uterine tubes |
| title | Imaging in infections of the left iliac fossa |
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