Colon Volume by Computed Tomography and Scintigraphic Colonic Transit in Constipated Patients With or Without Redundant Colon

Clin Gastroenterol Hepatol. 2024 Nov;22(11):2327-2329.e2. doi: 10.1016/j.cgh.2024.04.009. Epub 2024 May 1.

Abstract

Redundant colon, also referred to as "dolichocolon," is an anatomical variant associated with elongation and redundancy thought to be associated with constipation, abdominal pain, and distention.1,2 Diagnosis requires radiological visualization of the non-dilated colon in situ via barium enema or abdominopelvic computed tomography (CT). Colonic redundancy is based on 3 criteria: sigmoid loop displaced cranially relative to the iliac crests (type 1); transverse colon caudal to the iliac crests (type 2); and redundant loops at the hepatic or splenic flexure (type 3).2 Rarely, dolichocolon may meet all 3 criteria.2.

MeSH terms

  • Adult
  • Aged
  • Colon* / diagnostic imaging
  • Constipation* / diagnostic imaging
  • Female
  • Gastrointestinal Transit / physiology
  • Humans
  • Male
  • Middle Aged
  • Radiography, Abdominal
  • Radionuclide Imaging / methods
  • Tomography, X-Ray Computed* / methods