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DOI:10.2214/AJR.07.2390
AJR 2007; 189:1112-1117
© American Roentgen Ray Society


Clinical Observations

Colonoscopy Findings in End-Stage Liver Disease Patients with Incidental CT Colonic Wall Thickening

Eleanor L. Ormsby1, Curtis Duffield1, Farshad Ostovar-Sirjani2, John P. McGahan1 and Christoph Troppmann2

1 Department of Radiology, University of California, Davis Medical Center and Lawrence J. Ellison Ambulatory Care Center, 4860 Y St., Ste. 3100, Sacramento, CA 95817.
2 Department of Surgery, University of California, Davis Medical Center, Sacramento, CA 95817.

OBJECTIVE. Colonic wall thickening may occur in patients with end-stage liver disease. This study was conducted to correlate colonoscopy with CT-detected colonic wall thickening in this group of patients to assess their radiologic and clinical relevance.

CONCLUSION. Our results suggest that CT findings of colonic wall thickening in end-stage liver disease should be considered benign, and colonoscopy is unnecessary for the evaluation of malignancy or colitis unless it is clinically indicated.

Keywords: colonic wall thickening • colonoscopy • CT • gastrointestinal imaging • liver disease


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