Multimodal Ultrasound Examinations for Diverticular Disease and its Chronic Complications
126 patients with diverticular disease were included in the study, 83 (65.9%) of them have undergone surgery. Intraoperative ultrasound of colon was performed in 59 (71.1%) patients. 15 removed sigmoid specimens were also investigated by ultrasound. The study demonstrates diagnostic value of ultrasound for diverticular disease. Symptoms of mucosal prolapse in muscular layer and concertina-like deformation of colon wall are reliable for diverticulosis. Ruggedness of external contour of colon wall due to diverticula with tightened pericolic tissues around, pericolic phlegmon, adhesions with adjacent structures, pericolic pathological cavities and fistulas are reliable symptoms of inflammatory complications. Intraoperative ultrasound gives objective information of muscle layer thickness which is necessary for determination of extent of colon resection.