What is the role of barium contrast enema in the diagnosis of diverticulitis?

Updated: Aug 06, 2019
  • Author: Elie M Ghoulam, MD, MS; Chief Editor: BS Anand, MD  more...
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Answer

Barium contrast enema is not the imaging modality of choice during an acute episode of abdominal pain and should only be considered in mild to moderate uncomplicated cases of diverticulitis when the diagnosis is in doubt, or for follow-up evaluation for suspected fistula. [29] A water-soluble contrast medium should be used, as leakage of barium into the peritoneum would be catastrophic.


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