Role of MDCT in Evaluation of Bowel Ischemia with Surgical Correlation
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 7, Pages 3702-3710
AbstractBackground: Bowel ischemia is one of the serious and most catastrophic abdominal emergencies which lead to high mortality if unidentified and untreated. CT is described as the most useful diagnostic tool in diagnosing bowel ischemia and identifying the cause. The aim of the present study is to find about the imaging findings of bowel ischemia due to various causes.
Materials and Methods: The present study is a prospective study undertaken to evaluate the role of CT in bowel ischemia in indoor and outdoor patients being referred to the department of Radiodiagnosis and department of surgery, NRI Medical College & GH, Chinnakakani. All the study patients were investigated on 16 slice MDCT. All the study patients will be investigated on 16 slice MDCT.
Results: In our study out of 56 patients, 34 were females making about 60% of cases and 22 were males making about 40% of cases. Among 56 cases diagnosed and confirmed with CECT, 42 were of occlusive type and 8 were of non-occlusive type, 6 cases were due to obstruction. In the 42 cases, 28 cases were of arterial etiology and 14 cases are due to venous causes.
Conclusions: Thus MDCT can demonstrate the ischemic bowel segment, length of the segment involved and helps in determining the primary cause. The various patterns of bowel ischemia as described can aid in the diagnosis of bowel ischemia and thus in the further management.
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