Multidetector Computed Tomography (MDCT) in Gastrointestinal Obstruction: One Symptom Myriad Differentials
Journal Title: International Journal of Anatomy Radiology and Surgery - Year 2017, Vol 6, Issue 4
Abstract
Introduction: Computed Tomography (CT) is a highly sensitive modality with its multi-planar capabilities, used in evaluation of acute cases of intestinal obstruction. It delineates the level and helps to identify various etiologies of obstruction, where plain radiographs can only suggest signs of obstruction. It has an added advantage of detecting further complications, thus framing appropriate surgical approach. Aim: Our study aims at delineating variable CT spectrum of intestinal obstruction with highlight on atypical presentation. Materials and Methods: Retrospective hospital data based study was conducted in the Radiology Department of Shree Krishna Hospital, Anand, Gujarat, India, between 2014-2017 including 40 patients with mechanical causes of obstruction and excluding patients with non-mechanical causes of obstruction. Statistical analysis was done using percentages and proportions using MedCalc software version 17.6. Results: The age range of patients was from 5 days to 83 years and the maximum number of patients i.e., 7 (17.5%) were in the age group of 41-50 years. Radiographic signs related to obstruction like air fluid levels, dilated bowel loops was seen in 26 out of 40 cases (sensitivity 60%). Small bowel obstruction dominated the case list with obstructed hernia as major causative factor. Conclusion: Study highlights the contribution of MDCT in early identification of underlying etiology and complications of obstruction with additional contribution in road mapping and framing appropriate and individualized treatment strategy for patients.
Authors and Affiliations
Geetika SINDHWANI, VIRAL PATEL, ABHINAV JAIN, Manali Arora, PRATIK SHAH
Keywords
Related Articles
- EP ID EP370225
- DOI -
- Views 151
- Downloads 0
Laparoscopic Repair of Peptic Ulcer Perforation - Single Centre Experience
ABSTRACT Introduction: Laparotomy with peritoneal lavage and perforation repair is the standard management of perforated peptic ulcer. But the open surgery is associated with increased morbidity and delay in returning to...
High Division of Sciatic Nerve: A Cadaveric Study
ABSTRACT Introduction: Several authors give significant numbers of reports regarding anatomical variation of high division of sciatic nerve. This variation (high division of sciatic nerve) may result in sciatica, nerve i...
Pseudomyxoma Peritonei: Radiological Aspect
Pseudomyxoma peritonei is one of the complications of mucin secreting tumours arising from appendix or ovary. Malignancy of biliary tree, urachus and colon may also have similar presentation. It can also be a post operat...
Magnetic Resonance Imaging in Evaluation of Pituitary Adenomas
ABSTRACT Introduction: Pituitary adenoma often presents with non specific symptoms like headache; Dynamic contrast MRI is important not only in confirming the diagnosis but it also provides information which helps to pla...
A Comparative Evaluation of Various Imaging Findings with Per Operative Findings in Acute Abdomen
Introduction: Abdominal pain, severe in nature, that requires immediate medical and or surgical care may be referred to as acute abdomen. In view of its morbidity and mortality, it becomes essential for a prompt and accu...