CT Optimization for Diagnosis of Some Acute Abdomen Cases

Jastaniah, Saddig D.; Salih, Alamin M.; Alsafi, Khalid Gh.; Eltyib, Hamad Elniel H.; Hagi, Sarah K.; Khafaji, Maway A.; Abbas, Hanan Y.; Alshihri, Mohammad

doi:10.4236/act.2015.42003

Cited by 3 publications

(2 citation statements)

References 23 publications

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“…CT scan’s advantage in the emergency department for small-bowel obstruction (SBO) lies in its rapidity, enabling multiple acquisitions during a single contrast injection. Although imaging protocols vary based on potential diagnoses, clinical considerations, and radiographers’ experiences, an abdominal CT scan has emerged as the definitive method for diagnosing urgent conditions in patients experiencing acute abdominal pain 32 . CT should be preferred when clinical or plain radiographic findings are inconclusive 31 .…”

Section: Discussionmentioning

confidence: 99%

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The role of CT in acute bowel obstruction due to a supravesical hernia, a case report from Nepal

Panthi,

Thapaliya,

Khadka

et al. 2024

Annals of Medicine &Amp; Surgery

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Introduction and importance: Supravesical hernias are rare internal hernias but potential cause of small bowel obstruction. The clinical features are often non-specific, preoperative diagnosis is very difficult and is often diagnosed intraoperatively. The exact pathogenesis is unclear with the major risk factors of prematurity, a positive family history, male gender, smoking habits leading to decreased collagen production, advancing age, and conditions characterized by defective collagen synthesis Case presentation: We are reporting a case of small bowel obstruction secondary to a supravesical hernia, in a 78-year-old male presented with central abdominal pain, vomiting and obstipation. Ultrasonography of the abdomen and pelvis identified a marked dilation of the small bowel loop with multiple loops of dilated jejunum and ileum in contrast-enhanced CT scan of the abdomen and pelvis with lead point from the terminal ileum. Exploratory laparotomy was done with the diagnosis of left posterior a left posterior superior vesical hernia with small bowel obstruction. Clinical discussion: The case focuses supravesical hernia as a rare yet life-threatening etiology of small bowel obstruction, emphasizing the importance of clinical suspicion when patients present with signs and symptoms of bowel obstruction. While diagnosis often occurs intraoperatively, the utilization of computed tomography (CT) scans in emergency settings can provide valuable insights into the location, potential causes, and condition of the herniated bowel sac. The case highlights the pivotal role of computed tomography (CT) scans in diagnosis and emphasizes the need for multidisciplinary cooperation among clinicians, radiologists, and surgeons. Conclusion: Early intervention ensures better outcomes and prevents irreversible bowel damage, underscoring the importance of a comprehensive approach to patient care.

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Section: Discussionmentioning

confidence: 99%

“…However, its low sensitivity for partial SBO is a limitation. Proper technique and protocol are crucial for enhancing CT examination and ensuring maximum diagnostic accuracy 32 . On the other hand, MRI matches CT’s sensitivity for locating and assessing SBO causes.…”

Section: Discussionmentioning

confidence: 99%

The role of CT in acute bowel obstruction due to a supravesical hernia, a case report from Nepal

Panthi,

Thapaliya,

Khadka

et al. 2024

Annals of Medicine &Amp; Surgery

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Computed Tomography

Maqbool¹

2017

An Introduction to Medical Physics

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Abnormal CT findings among patients with abdominal pain in the radiology department of a tertiary care center

Almushayti

Alsalhi²,

Alsagri³

et al. 2022

F1000Res

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Background: Abdominal pain is a common symptom in people of different ages due to various benign and life-threatening causes. Imaging studies, including computerized tomography (CT) scans, explore the clinical reasons behind this pain to prevent delayed diagnosis. Owing to abnormal findings, timely identification of the exact cause of abdominal pain is important in most diseases so treatment can be started earlier, but it has not yet been studied, making this research novel. This study was conducted to identify the prevalence of abnormal CT scan findings among referred patients with abdominal pain and to confirm or determine other diagnoses compared to other imaging modalities in the Emergency Department (ED). Methods: This observational retrospective study was conducted at the King Fahad Hospital, a tertiary hospital in Qassim. We included 2,144 patients who visited the ED and underwent abdominal CT scans between January 2021 and January 2022. Data on age, sex, CT findings, and results from other imaging modalities were collected from the Radiology Department. Results: We found that 2,144 patients referred from the ED to the Radiology Department complained of acute abdominal pain in 2021 for CT diagnosis. Approximately 28.2% of these patients had normal CT diagnoses. The average age at normal CT diagnosis was 38.6 years old. While 52% of CT diagnoses were abnormal, including obstructive ureteric stone (435, 20.3%), appendicitis (205, 9.6%), bowel obstruction (51, 2.4%), renal cancer (27, 1.3%), ovarian cancer (25, 1.2%), and obstructive bladder stone (25, 1.2%), with an average age of 40.4 years old, and 19% with accidental findings. Conclusions: Most of the cases with abdominal pain showed abnormal results in the CT scan. These results demonstrate the sole inefficiency of CT scan for the diagnosis of abdominal pain. So, clinical evaluations should be used together with abdominal ultrasonography to perform a timely and exact diagnosis.

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CT Optimization for Diagnosis of Some Acute Abdomen Cases

Cited by 3 publications

References 23 publications

The role of CT in acute bowel obstruction due to a supravesical hernia, a case report from Nepal

The role of CT in acute bowel obstruction due to a supravesical hernia, a case report from Nepal

Computed Tomography

Abnormal CT findings among patients with abdominal pain in the radiology department of a tertiary care center

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