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AJR 2001; 177:619-623
© American Roentgen Ray Society

Original Report

Imaging Features of Enterohemorrhagic Escherichia coli Colitis

Frank H. Miller1, Jason J. Ma2 and Francis J. Scholz3

1 Department of Radiology, Northwestern Memorial Hospital, Northwestern University Medical School, 676 N. St. Clair St., Ste. 800, Chicago, IL 60611.
2 University of Illinois College of Medicine, 1740 W. Taylor St., Chicago, IL 60612.
3 Lahey Clinic, Medical Center, 41 Mall Rd., Burlington, MA 01805.

OBJECTIVE. The purpose of this article is to define and illustrate the radiologic findings in patients with enterohemorrhagic Escherichia coli colitis.

CONCLUSION. Although not definitive, imaging studies in conjunction with an appropriate clinical history can aid in the early diagnosis of E. coli colitis and exclude surgical conditions. CT is more sensitive than conventional radiography for detection. Contiguous involvement, including the transverse colon, was seen in all patients. Because CT is becoming routine in the initial workup of patients with acute abdominal pain, it is important for the radiologist to suggest E. coli colitis in the proper setting.


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