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Year :2017
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Month :
September-October
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Volume :
6
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Issue :
4
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Page :
RO45 - RO51
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Multidetector Computed Tomography (MDCT) in Gastrointestinal Obstruction: One Symptom Myriad Differentials
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Correspondence Address :
Geetika Sindhwani, Viral Patel, Abhinav Jain, Manaliarora, Pratik Shah,
Dr. Viral Patel,
Associate Professor, Department of Radiodiagnosis,
Pramukhswami Medical College and Shree Krishna Hospital,
Karamsad-388325, Anand, Gujarat, India.
E-mail: viralvp@charutarhealth.org
geetu23130@yahoo.co.in
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Introduction: 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.
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