Multidetector Computed Tomography in Small and Large Bowel Lesions
Journal Title: International Journal of Contemporary Medicine surgery and Radiology - Year 2018, Vol 3, Issue 1
Abstract
Introduction: Technological advances in CT have changed the practice of gastrointestinal radiology. This was a prospective study to evaluate the role of multidetector computed tomography (MDCT) in diagnosis of small and large bowel lesions. Material and Methods: This study was carried out in MNR Medical College and Hospital from March 2015 to April 2017. A total of 52 patients were examined in this study. CT findings were correlated and confirmed by colonoscopy, biopsy, postoperative findings or follow-up CT. Results: 33 (63.5%) were males and 19 (36.5%) were female patients. Most affected age group was 51-60 years (23.1%) followed by 61-70 years (19.2%). Lesions were commonly found in Ileoceacal Junction and sigmoid colon (30.4%). Out of 52 cases Asymmetric wall thickening was reported in 45 (86.5%) and Symmetric wall thickening was reported in 7 cases (13.5%). 12 cases (23.1%) had focal involvement of the bowel, 31 cases (59.6%) had segmental involvement and 9 cases (17.3%) had diffuse involvement of the bowel. MDCT diagnosed 28 as neoplastic and 24 as Non Neoplastic, Histopathology confirmed these lesions with 27 as Neoplastic and 25 Non Neoplastic. Among the 27 lesions identified as Neoplastic by MDCT, 19 cases were Malignant and 8 Cases were Benign. Histopathology confirmed 17 cases as Malignant and 8 Cases as Benign. Conclusion: MDCT had a sensitivity of 96.29%, specificity of 92.00% in differentiating Neoplastic and Non Neoplastic Lesions and is the modality of choice.
Authors and Affiliations
Ravi Kumar Yeli, Shivanand V. Patil, Nagababu Pyadala
Keywords
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