Current concepts in imaging of small bowel obstruction

CT Optimization for Diagnosis of Some Acute Abdomen Cases

“…When the transition zone of the luminal contents is carefully inspected this will usually tell the obstruction reason [13] [14]. [15] proved that sub millimeter coronal reformations add to the confidence level of readers for the diagnosis of acute appendicitis.…”

Laparoscopic Management of Acute Intestinal Obstruction

“…Plain X-rays: Radiography accurately diagnoses intestinal obstruction in approximately 60% of cases [15], and its positive predictive value approaches 80% in patients with high-grade intestinal obstruction [16]. However, plain abdominal films can appear normal in early obstruction and in high jejunal or duodenal obstruction.…”

Early diagnosis of bowel obstruction and strangulation by computed tomography in emergency department

“…Several studies [8,[12][13][14][15][16][17][18] have demonstrated the accuracy of CT in confirming the diagnosis and also revealing the site, level and cause of SBO, with a sensitivity of 94%-100% and a specificity of 90%-95%. A review of the literature also supported the use of CT as a sensitive and specifi c test for SBO.…”

“…[1,22] CT scan also provides a global evaluation of the abdomen and this is especially relevant in the emergency department when evaluating a patient with acute abdomen when multiple etiologies are being considered in the differential diagnosis. [10,17] Thrombus can be seen in the mesenteric artery or vein in central occlusion on CT performed after intravascular contrast administration. M u l t i p l e o rg a n i n f a r c t s c a n b e s e e n i n g l o b a l hypoperfusion.…”