ROLE OF MULTI DETECTOR COMPUTED TOMOGRAPHY IN ASSESSMENT OF ACUTE SMALL BOWEL DISEASES

Abstract

One of the challenges faced by radiologists is the diagnosis of acute small bowel diseases. The small bowel is considered the narrowest, longest, and the most tortuous portion of the gastrointestinal tract which cause non-specific clinical presentations and can simulate other causes of gastrointestinal diseases. So, precise diagnosis is very important to determine the appropriate way of management.CT assessment of small bowel diseases is becoming the preferred imaging modality in evaluation ofacute small bowel diseases.Aim of the work:This study was conducted to assess the role of MDCT in evaluation of acute small bowel diseases.Patients:This study was conducted on 38 patients; 23 males (60.5%) and 15 females (39.5%) range in age from 4 years to 88 years with mean age 48 years. All patients presented clinically with acute abdominal symptoms of small bowel origin and referred to the Radio-diagnosis Department at Alexandria University HospitalsMethodology:The studied patients were subjected to the following:1. History taking and through clinical examination.2. MDCT examination of the abdomen and pelvis including:A. Routine CT abdomen and pelvis.B. CT entero-colonography 3. The CT data was correlated with the surgical and medical results to reach the final diagnosis.