CT Enterography for diagnosis of Small Bowel Disorders
Journal Title: Journal of Medical Science And clinical Research - Year 2018, Vol 6, Issue 8
Abstract
Objective: The purpose of this study was to demonstrate the role of CT enterography in detection and characterization of small bowel diseases. Material and Methods: A total of 65 patients (mean age 41 years; range, 16-70 years), including 42 males and 23 females who were suspected of having small bowel disorders on the basis of clinical examination underwent CT enterography examination on a 64-slice CT Scanner prospectively using neutral oral contrast (Polyethylene glycol). Results: The mean distensionof the small intestine was 1.8cm in jejunum and 2.3 cm in ileum. Out of 65 patients, 32 patients (49%) presented with abnormal small bowel thickening. Intestinal tuberculosis was the most common diagnosis in 11 cases (16.9%). Ileocaecal junction was involved predominantly in 81%cases and 81% cases of tuberculosis depicted homogenous enhancement with either focal (46%) or segmental (54%) involvement. Small bowel tumors were seen in 9 cases with majority of them adenocarcinoma (7 cases). Malignancy was associated with marked asymmetric thickening in 81%cases, focal thickening in 54% cases, and heterogenous enhancement in 91% cases. Conclusion: CT enterography is an effective modality to evaluate small bowel disorders. It can not only assess mural and intraluminal small bowel pathologies but also assess extraintestinal findings so as to make correct diagnosis.
Authors and Affiliations
Anshul Chamail
Keywords
Related Articles
- EP ID EP518153
- DOI -
- Views 77
- Downloads 0
Clinical, Etiological and Prognostic Factors of Cerebral Venous Sinus Thrombosis in Kashmir-North India
Background: Cerebral venous sinus thrombosis (CVST) has a variable clinical presentation making early diagnosis difficult. A number of prothrombotic states have been implicated in causation of CVST, but results are mixed...
FNAC and Histopathological Correlation of Salivary Gland Lesions in a Tertiary Care Hospital in Kanchipuram
Background: Fine needle aspiration cytology is an economically effective technique which is sensitive and specific in diagnosing salivary gland lesions. However histopathology of salivary gland lesions is still the final...
Carcinoma Cervix with Cutaneous Metastasis: A Case Report
Cutaneous metastasis is an uncommon entity in gynecologic cancer. Though carcinoma cervix is the commonest female malignancy in the developing countries, cutaneous involvement of cervical cancer is particularly unusual,...
Migrated Intra-uterine Contraceptive Device: The Need for Proper Counselling
The migration of IUCD into the bladder has been reported in several literatures1,2. This sometimes occurs at the time of insertion when the uterus is perforated, but may also occur by erosion into uterus and bladder foll...
Assessment of Mental Stress among First Year Medical Students and Change in Level of Stress before Examination
Background and Aim: Students are exposed to new educational environment when they enter medical colleges. Huge syllabus, peer stress, stress of hostel life and examination are among the major factors for development of s...