Year 2022 Vol. 30 No 6




Belarusian Medical Academy of Postgraduate Education 1,
Medical Centre NeoMedial 2, Minsk,
Republic of Belarus

Objective. To analyze and systematize the results of ultrasound scan in patients with acute complications of diverticular disease of the colon.
Methods. The results of ultrasound scan of the intestine were analyzed in 57 patients who complained of acute abdominal pain, flatulence and stool abnormalities, who had diverticular disease of the colon. Of these, 31 (54,4%) were women and 26 (45,6%) were men. In 49 (86%) patients, diverticula were located in the left side of the colon, in 6 (10,5%) patients, diverticula were located in the right side of the colon and 2 (3,5%) patients, diverticula were found all over colon.
Result. A preliminary ultrasound classification of acute complications of diverticular disease of the colon according to the severity of the course (4 degrees) has been developed. The first degree indicates an inflamed diverticulum with/without pericolitis, with/without abscess ≤2 cm in diameter regardless of localisation in relation to the mesenteric and anti-mesenteric margins. The second degree indicates an inflamed diverticulum with an abscess >3 cm in diameter or with a diverticulum perforation along the mesenteric margin, as well as with an abscess >2cm and with a perforation along the anti-mesenteric margin. The third degree is characterized by focal or generalized purulent peritonitis. The fourth degree - development of faecal peritonitis.
Conclusion. Ultrasound is safe, non-invasive, easy and affordable, It allows at once visualize not only the entire gastrointestinal tract, but also other organs and systems, in parallel interpret both clinical and ultrasound data, classify patients into outpatient and inpatient depending on the severity of complications of diverticular disease of the colon.

Keywords: diverticular disease, colon, ultrasound, complication, classification
p. 518-527 of the original issue
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Address for correspondence:
223041, Republic of Belarus,
Minsk region, Minsk district, a/g Lesnoy-1.
Belarusian Medical Academy of Postgraduate Education, Department of Surgery,
Tel. +375 44 7514263,
Haji Ismail Ismail Abbas
Information about the authors:
Koushnerou Alexandr I., MD, Professor, Medical Center NeoMedical, Minsk, Republic of Belarus.
Haji-Ismail Ismail Abbas, PhD, Associate Professor, Belarusian Medical Academy of Postgraduate Education, Department of Surgery, Minsk, Republic of Belarus.
Varabei Aliaksandr V., MD, Professor, Corresponding Member of the National Academy of Sciences of the Republic of Belarus, Minsk, Republic of Belarus.
Rudenka Svetlana I., PhD, hysician (ultrasound) at the NeoMedical Medical Center, Minsk, Republic of Belarus.
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