Role of multidetector computed tomography imaging in the management of patients with blunt chest trauma

Dessouky, Basma A El-Moniem; Hassanein, Shaimaa Abdel-hamid; Abdelrehim, Mohammed M Salaheldin

doi:10.4103/mmj.mmj_435_18

Cited by 1 publication

(3 citation statements)

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“…They stated that small bowel obstruction was diagnosed in 51.28% of cases, whereas large bowel obstruction in 48.71 % of cases [12] . As well, another study conducted in Menoufia University, Egypt showed that small bowel obstruction was reported in (55%), while large bowel obstruction was documented in (40%) of the included participants [13] .…”

Section: Discussionmentioning

confidence: 66%

“…Another study reported a lower mean age of the included participants 38.95 years, in Radiology Department, Menoufia University, however this lower age can be explained by inclusion of pediatrics in their study [13] .…”

Section: Discussionmentioning

confidence: 78%

“…Other study has shown that the sensitivity and specificity of CT scans in diagnosing intestinal blockage are as high as 94% and 96%, respectively [15] . El-sayed and colleagues [13] conducted a prospective cross section study and reported 100% accuracy, sensitivity, and specificity.…”

Section: Discussionmentioning

confidence: 99%

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Value of MDCT Scan in Identifying Adhesive Small Bowel Obstruction and its Importance in Management Plan

RASHA MOSTAFA MOHAMED ALI, M.D.;

2023

The Medical Journal of Cairo University

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Background: Multi detector computed tomography (MD-CT) has become a mainstay in diagnosing bowel obstruction. Because the management of obstruction has dramatically changed with a decrease in the proportion of patients who need surgery, a precise CT evaluation is now both the gold standard and the common approach in patients with suspected bowel obstruction.Results: A total of 51 patients were eligible for inclusion in our study, all patients were admitted to emergency Department of Kasr Al-Ainy Teaching Hospital with clinical and radiological features of acute small bowel obstruction(ASBO). MDCT showed bowel obstruction in 40 (78.4%) patients, small bowel obstruction in 35 (68.6%) patients and large bowel obstruction in 5 (9.8%) patients, follow-up CT scan showed that contrast reached the large bowel obstruction was reported in 20 (41.7%) patients. Twelve (23.5%) patients were indicated for surgical intervention, ICU admission was reported in 3 (5.9%) patients, while one case showed leakage on day 1 post exploration. CT showed adhesions in 38 (74.5%) patients with final diagnosis of adhesive intestinal obstruction (IO) in 29 (56.9%) patients. Conclusion:We concluded that MDCT scan is a highly sensitive tool in detection of adhesive intestinal obstruction on the level of small and large bowel. MDCT scan can be used as a very accurate tool in screening for adhesive IO due to higher negative predictive value (100%).

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Section: Discussionmentioning

confidence: 66%

Section: Discussionmentioning

confidence: 78%