International Journal of Radiology and Diagnostic Imaging
Login    Signup

2019, Vol. 2, Issue 1, Part A

Imaging strategies for evaluating non-traumatic acute abdominal pain
Author(s)
Dr. Pinakin N Patel, Dr. Sanjay A Prajapati and Dr. Paresh C Parikh
Abstract
Background and Aim: Acute abdomen poses a big challenge to the general surgeons in terms of both diagnosis and management. Aim of the study was to study, assess and diagnose causes of acute abdomen accurately, to determine the accuracy of MDCT for confirmation of Negative, diagnosed or equivocal USG cases & To establish role of CT as the primary imaging modality.
Material and Methods: This prospective study was done on 100 randomly collected patients who were referred to radiology department with Documentation of acute abdomen from Emergency, Surgery, Medicine and Gynecology departments for USG and CT. Axial, coronal, and sagittal reformatted images were studied. Intravenous and oral contrast were also used depending on the clinical condition. All these patients were followed up diagnosis obtained before and after CT were compared with intraoperative findings or final clinical diagnosis at discharge.
Results: In our study, majority 60% of the study population were males with male: female ratio of 1.55:1 and majority (25%) of them presented with the right lower quadrant pain followed by periumblical (25%) and epigastric quadrant be stricture. Six cases (6%) of pancreatitis, 3 cases (3%) of urolithiasis, 2 cases (2%) of peritonitis, 1cases (1%) of pyelonephritis, and 1 case (1%) of gallbladder rupture and intussusception each needed CT for diagnosis. 2 cases (2%) of SMA thrombosis and 1 case (1%) of mesenteric panniculitis were also noted.
Conclusion: MDCT has high sensitivity in detecting various pathologies in cases of inconclusive situations on USG, in symptomatic patients with negative USG scans and in patients with suboptimal scan.
Pages: 56-59 | Views: 256 | Downloads: 96


International Journal of Radiology and Diagnostic Imaging
How to cite this article:
Dr. Pinakin N Patel, Dr. Sanjay A Prajapati, Dr. Paresh C Parikh. Imaging strategies for evaluating non-traumatic acute abdominal pain. Int J Radiol Diagn Imaging 2019;2(1):56-59. DOI: 10.33545/26644436.2019.v2.i1a.395
Related Journal Subscription
International Journal of Radiology and Diagnostic Imaging

International Journal of Radiology and Diagnostic Imaging

International Journal of Radiology and Diagnostic Imaging
Call for book chapter