Role of ultrasonography and computed tomography in stomach and bowel diseases

Abstract

Background-In this study we compared ultrasound with CT in detecting causes of Common stomach and bowel pathologies such as appendicitis, diverticulitis, volvulus in patients presenting at the department with acute abdominal pain in the majority of cases. Methods- A cross-sectional study was conducted in our institute from September 2019 to August 2021 following approval from the Ethical committee of the hospital. All clinically suspected lesions involving stomach and bowel patients included patients who were clinically evaluated at OPD & the emergency department by the surgeon. All those who fulfilled the inclusion criteria were explained the purpose of the study. After clinical assessment, all consenting patients underwent ultrasound and computed tomography (CT) within a few hours of presentation.
 Results- A total of 100 patients with stomach and bowel disorders were studied using ultrasound and multidetector CT scan. 25 patients were diagnosed with appendicular pathologies, 25 cases with primary neoplasms, 18 were abdominal Koch’s, 17 were Crohn’s disease, 6 were ulcerative colitis, 4 were volvulus, 3 were diverticulitis, 2 were intussusception.Acute appendicitis was the most frequent finding seen in 23 patients. Ultrasound was diagnostic in all except one case.