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Congress: ECR25
Poster Number: C-23055
Type: Poster: EPOS Radiologist (scientific)
DOI: 10.26044/ecr2025/C-23055
Authorblock: D. Milazzo, F. Tiralongo, F. Lionetti, S. Tamburrini, G. N. Zanghì, E. David, P. V. Foti, S. Palmucci, A. Basile; Catania/IT
Disclosures:
Dario Milazzo: Nothing to disclose
Francesco Tiralongo: Nothing to disclose
Francesco Lionetti: Nothing to disclose
Stefania Tamburrini: Nothing to disclose
Guido Nicola Zanghì: Nothing to disclose
Emanuele David: Nothing to disclose
Pietro Valerio Foti: Nothing to disclose
Stefano Palmucci: Nothing to disclose
Antonio Basile: Nothing to disclose
Keywords: Abdomen, Colon, Emergency, CT, CT-Angiography, Laboratory tests, Staging, Statistics, Diverticula
Results

A total of 131 patients between 23 and 92 years, with a mean age of 60.03 ± 15.20 years, were evaluated (median=58; 95% CI=55-62.19). Of these, 54 were male (41.22%) and 77 female (58.78%).

In total, 29 patients (22.14%) were treated surgically and 102 (77.86%) conservatively; clinical success was achieved in 109 cases (83.21%) against 22 therapeutic failures (16.79%).

The mean value of lymphocytes before treatment was 1.7208 ± 1.28 (range=0.09-13.8; median=1.6; 95% CI=1.45-1.68); the mean value of neutrophils was 11.87 ± 8.96 (range=1.29-84.5; median=10.17; 95% CI=9.6-11.52). The mean NLR value was 8.63 ± 6.52 (range=1.20-36.62; median=6.48; 95% CI=5.76-7.6); the mean CRP value before treatment was 110.54 ± 85.63 (range=0.04-394.4; median=99.88; 95% CI=81.63-115.3). The mean value of hospitalization days was 9.93 ± 6.91 (range=1-42; median=8; 95% CI=7.34-9).

As mentioned before, patients were divided into three groups according to WSES staging: group 0 consisted of 22 patients, group 1 of 89 patients and group 2 of 20 patients. The group 0 had a mean age of 60.72 ± 12.79 years, group 1 of 58.94 ± 15.68 years and group 2 of 64.15 ± 15.36 years. The ANOVA test showed no stastistical significant difference between age and the three staged severity groups according to WSES (p=0.493).

Similarly, patients staged according to Hinchey were divided into 3 groups: group 0 had a mean age of 59.39 ± 14.81, group 1 58.14 ± 15.52 and group 2 66.41 ± 15.87. Again, there was no statistically significant difference between age and the groups staged according to Hinchey (p=0.168).

Fig 4: ANOVA test for age and WSES and Hinchey groups.

With regard to neutrophils, the ANOVA test showed that their value was statistically significantly associated with severity as assessed by WSES (p=0.034), but not with that assessed by Hinchey (p=0.061).

Fig 5: ANOVA test for neutrophils and WSES groups.

Lymphocytes were not shown to be statistically significantly associated with either WSES-staged (p=0.791) or Hinchey-staged cases (p=0.595).

The NLR was statistically significantly associated with the severity of diverticulitis staged according to WSES (p=0.030), but not with that staged according to Hinchey (p=0.784).

Fig 6: ANOVA test for NLR and WSES groups.

On the other hand, the CRP proved to be significantly higher both in severe cases staged according to WSES (p<0.001) and those staged according to Hinchey (p<0.001). In particular then, Spearman's test showed how CRP values correlated with case severity staged according to WSES (rho=0.326, p=0.0002) and to Hinchey (rho=0.36, p<0.0001).

Fig 7: ANOVA test for CRP and WSES and Hinchey groups.

There was no statistically significant difference between hospitalization days and groups staged according to WSES (p=0.441) and Hinchey (p=0.485).

Finally, the Mann-Whitney test showed that there is no significant difference in median NLR values between the clinical success and failure groups (p=0.0925).

Fig 8: Mann-Whitney test for NLR and clinical success (SUCC) and clinical failure (INS) groups.

Similarly, there was no significant difference in median CRP values between the two outcome groups (p=0.1979).

GALLERY