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Rofo 2017; 189(08): 740-747
DOI: 10.1055/s-0043-110770
Abdomen
© Georg Thieme Verlag KG Stuttgart · New York

The CDD System in Computed Tomographic Diagnosis of Diverticular Disease

Article in several languages: English | deutsch
Daniel Pustelnik
1   Institute of Radiology, Charité – Universitätsmedizin Berlin, Germany
,
Fabian Henry Jürgen Elsholtz
1   Institute of Radiology, Charité – Universitätsmedizin Berlin, Germany
,
Christian Bojarski
2   Medical Department, Division of Gastroenterology, Infectiology and Rheumatology, Charité Universitätsmedizin Berlin Campus Benjamin Franklin, Berlin, Germany
,
Bernd Hamm
1   Institute of Radiology, Charité – Universitätsmedizin Berlin, Germany
,
Stefan Markus Niehues
1   Institute of Radiology, Charité – Universitätsmedizin Berlin, Germany
› Author Affiliations
Further Information

Publication History

21 September 2016

22 March 2017

Publication Date:
26 June 2017 (online)

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Abstract

Purpose This overview sums up the Classification of Diverticular Disease (CDD) with regard to its application in computed tomographic diagnosis and briefly recapitulates its targeted advantages over preliminary systems. Primarily, application of the CDD in computed tomography diagnostics is described. Differences with respect to the categories of the older systems are pointed out on the level of each CDD type using imaging examples.

Materials and Methods The presented images are derived from our institute according to the S2k criteria. Literature was researched on PubMed.

Results The CDD constitutes an improvement compared to older systems for categorizing the stages of diverticular disease. It provides more discriminatory power on the descriptive-morphological level and defines as well as differentiates more courses of the disease. Furthermore, the categories translate more directly into state-of-the-art decision-making concerning hospitalization and therapy.

Conclusion The CDD should be applied routinely in the computed tomographic diagnosis of diverticular disease. Typical imaging patterns are presented.

Key points 

  • The CDD is superior to its predecessors. It better stratifies categories of diverticular disease by morphology, course and modern options for treatment of the disease.

  • Computed tomography is the dominant imaging modality. Different stages show typical imaging patterns.

  • Non-abscessed phlegmonous peridiverticulitis is now interpreted as an uncomplicated course.

  • Minimal paracolic air does not constitute a full-fledged perforation in terms of a pneumoperitoneum (CDD type 2c).

Citation Format

  • Pustelnik D, Elsholtz FH, Bojarski C et al. The CDD System in Computed Tomographic Diagnosis of Diverticular Disease. Fortschr Röntgenstr 2017; 189: 740 – 747

Key words

diverticulitis - diverticulosis - CDD - CT - diverticular disease
 

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