Skip to main content

Benign Structural and Functional Abnormalities of the Colon

  • Chapter
  • First Online:
Radiology Illustrated: Gastrointestinal Tract

Part of the book series: Radiology Illustrated ((RADILL))

  • 2918 Accesses

Abstract

Most of the congenital structural abnormalities of the colon such as imperforate anus, Hirschsprung’s disease, or malrotation manifest themselves in neonatal period or early infancy and are treated in adequate time. But some of them seclude themselves and affect patients in their adolescence or adult period. The diagnosis of these congenital abnormalities with late manifestation is not easy as conventional axial imaging techniques cannot reflect their functional defect. Therefore, old-fashioned or cutting-edge version of fluoroscopic examination is used for a dynamic study. Repeated medication, chronic stress, or an event of a lifetime such as childbirth or surgery can weaken the colorectum and cause functional or structural abnormalities. Careful taking of symptom and medical history and proper imaging studies can lead clinicians and radiologists to a correct diagnosis. Besides, malignancy can cause structural abnormalities such as intussusception, and radiologists should pay great attention when they see findings unusual for the adults.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 149.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 199.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 279.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Abbreviations

CT:

Computed tomography

CTT:

Colon transit time

GI:

Gastrointestinal

PI:

Pneumatosis intestinalis

SMA:

Superior mesenteric artery

SMV:

Superior mesenteric vein

References

  • Azar T, Berger DL. Adult intussusception. Ann Surg. 1997;226:134–8.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Bowden DJ, Kilburn-Toppin F, Scoffings DJ. Radiology of eating disorders: a pictorial review. Radiographics. 2013;33:1171–93.

    Article  PubMed  Google Scholar 

  • Choi JS, Lim JS, Kim H, Choi JY, Kim MJ, Kim NK, et al. Colonic pseudoobstruction: CT findings. AJR Am J Roentgenol. 2008;190:1521–6.

    Article  PubMed  Google Scholar 

  • Gagliardi G, Thompson IW, Hershman MJ, Forbes A, Hawley PR, Talbot IC. Pneumatosis coli: a proposed pathogenesis based on study of 25 cases and review of the literature. Int J Colorectal Dis. 1996;11:111–8.

    Article  CAS  PubMed  Google Scholar 

  • Paci M, Boutros M, Pelsser V, Laberge JM, Ghitulescu G. Reverse intestinal rotation in an adult resulting in concomitant small and large bowel obstruction. Am Surg. 2013;79:e300–2.

    PubMed  Google Scholar 

  • Peterson CM, Anderson JS, Hara AK, Carenza JW, Menias CO. Volvulus of the gastrointestinal tract: appearances at multimodality imaging. Radiographics. 2009;29:1281–93.

    Article  PubMed  Google Scholar 

  • Vorobyov GI, Achkasov SI, Biryukov OM. Clinical features’ diagnostics and treatment of Hirschsprung’s disease in adults. Colorectal Dis. 2010;12:1242–8.

    Article  CAS  PubMed  Google Scholar 

  • Wald A. Colonic transit and anorectal manometry in chronic idiopathic constipation. Arch Intern Med. 1986;146:1713–6.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Jeehyun Baek .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Baek, J., Lee, J.Y. (2015). Benign Structural and Functional Abnormalities of the Colon. In: Choi, B. (eds) Radiology Illustrated: Gastrointestinal Tract. Radiology Illustrated. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-55412-4_16

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-55412-4_16

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-55411-7

  • Online ISBN: 978-3-642-55412-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics