Colostomy on CT and fluoroscopy: What the radiologist needs to know

Shari Friedman, Zina J. Ricci, Marjorie W. Stein, Ellen L. Wolf, Tulay Ekinci, Fernanda S. Mazzariol, Mariya Kobi

Research output: Contribution to journalReview article

Abstract

Colostomies are commonly created in conjunction with colorectal surgery performed for both malignant and benign indications. Familiarity with the different types of colostomies and their normal imaging appearance will improve radiologic detection and characterization of colostomy complications. The radiologist plays a large role in assessment of colostomy patients either via fluoroscopic technique or multidetector computed tomography (CT) in order to help identify ostomy complications or to aid the surgeon prior to colostomy reversal. In this article, we will review: (1) the types of colostomies and indications for their creation; (2) the proper radiographic technique of ostomy evaluation; and (3) the potential complications of colostomies and their imaging manifestations.

Original languageEnglish (US)
Pages (from-to)17-27
Number of pages11
JournalClinical Imaging
Volume56
DOIs
StatePublished - Jul 1 2019

Keywords

  • Anastomotic leak
  • Colostomy
  • Colostomy complications
  • Diversion colitis
  • Parastomal hernia

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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