scholarly journals Multidetector computed tomography: a corner stone imaging modality in evaluation of acute small bowel diseases

2021 ◽  
Vol 52 (1) ◽  
Author(s):  
Doaa M. Emara ◽  
Khaled M. Moghazy ◽  
Galal M. Abouelnagah ◽  
Ahmed H. Amer
Keyword(s):  
Small Bowel ◽  
Acute Abdomen ◽  
High Efficiency ◽  
Imaging Modality ◽  
Bowel Perforation ◽  
High Sensitivity ◽  
Ischemic Bowel ◽  
Imaging Tool ◽  
Bowel Diseases ◽  
Small Bowel Diseases

Abstract Background The diagnosis of acute small bowel diseases is one of the challenging issues that confronted by the radiologists so accurate diagnosis is essential to determine the appropriate way of management. CT has become the preferred imaging tool to evaluate acute small bowel diseases. Our study aimed to assess the role of MDCT in evaluation of acute abdomen secondary to small bowel origin by identification and differentiation between different acute small bowel pathologies. Results Thirty-eight patients presented with acute abdomen of small bowel origin from June 2019 to September 2019. The mean age of incidence was 48 ± 19 years ranged from 4 to 88 years. Males represented by 23 patients (60.5%). Acute exacerbation of inflammatory bowel diseases (Crohn’s disease) represented by (34.2%), small bowel obstruction (31.6%), ischemic bowel diseases (21.1%), small bowel perforation (10.5%) and infectious (TB enteritis) small bowel disease (2.6%). MDCT had an overall high sensitivity (97.3%) in assessment of acute small bowel diseases in correlation with post-operative data and follow-up response to management. Conclusions MDCT is a reliable diagnostic imaging tool for assessment of patients with acute abdomen secondary to small bowel origin with high-efficiency in differentiation between different pathological entities that causing acute abdomen.

scholarly journals Role of Computed Tomography (CT) Enterography in the Evaluation of Small Bowel Diseases

2021 ◽  
Vol 10 (20) ◽  
pp. 1451-1456
Author(s):  
Fawaz Yousuf ◽  
Sanjay Sethi ◽  
Ranjana Gupta ◽  
Sandeep Joshi ◽  
Puneet Mittal ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Small Bowel ◽  
Imaging Modality ◽  
Intestinal Tuberculosis ◽  
Oral Contrast ◽  
Ct Enterography ◽  
Target Pattern ◽  
Common Diagnosis ◽  
Bowel Diseases ◽  
Small Bowel Diseases

BACKGROUND Small bowel imaging often questions clinicians due to its long, tortuous and undulating morphology. The current study was undertaken to establish the efficacy of multidetector computed tomography (MDCT) enterography in the evaluation of small bowel diseases using iso-osmotic mannitol as oral contrast agent. METHODS A prospective observational study was conducted among thirty patients (mean age 40 years; range 14 - 66 years), 16 males and 14 females presenting with clinical suspicion of small bowel diseases based on clinical, laboratory or other imaging investigations underwent CT enterography on a 128 slice CT scanner using isoosmotic mannitol as neutral enteral contrast. RESULTS Intestinal tuberculosis was the most common diagnosis. Non neoplastic cases predominantly showed segmental symmetrical involvement with target pattern of enhancement. Small bowel tumours (adenocarcinoma) were seen in 2 cases. Neoplasms were associated with focal asymmetrical involvement with heterogeneous enhancement pattern. Computerized tomography enterography (CTE) clearly depicted the site, level and cause of the obstruction in all the patients with a sensitivity and specificity of 96 % and 100 % respectively. Diagnostic accuracy of CTE in detection of small bowel diseases came out to be 98 %. CONCLUSIONS CT enterography is an effectual, non-invasive, well-tolerated, sensitive and specific imaging modality for the evaluation of small bowel diseases which provides superior assessment of the intraluminal, mural and extraintestinal pathologies. KEY WORDS CT enterography, mannitol, Tuberculosis, Small Bowel

Role of MRI in the diagnosis of small bowel diseases

2005 ◽  
Vol 43 (05) ◽  
Author(s):  
M Babos ◽  
A Palkó ◽  
L Kardos ◽  
I Kiss ◽  
F Nagy
Keyword(s):  
Small Bowel ◽  
Bowel Diseases ◽  
Small Bowel Diseases

scholarly journals Diarrhoea due to small bowel diseases

2012 ◽  
Vol 26 (5) ◽  
pp. 581-600 ◽  
Author(s):  
Joseph A. Murray ◽  
Alberto Rubio-Tapia
Keyword(s):  
Small Bowel ◽  
Bowel Diseases ◽  
Small Bowel Diseases

scholarly journals The Accuracy of Point-of-Care Ultrasound in Detecting Small Bowel Obstruction in Emergency Department

2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
A. Pourmand ◽  
U. Dimbil ◽  
A. Drake ◽  
H. Shokoohi
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Imaging Modality ◽  
Point Of Care ◽  
High Sensitivity ◽  
Point Of Care Ultrasound ◽  
Emergency Physicians ◽  
Short Term ◽  
Intestinal Peristalsis

Radiological imaging plays an essential role in the evaluation of a patient with suspected small bowel obstruction (SBO). In a few studies, point-of-care ultrasound (POCUS) has been utilized as a primary imaging modality in patients with suspected SBO. POCUS has been shown to be an accurate tool in the diagnosis of SBO with multiple research studies noting a consistent high sensitivity with a range of 94–100% and specificity of 81–100%. Specific sonographic findings that increase the likelihood of SBO include dilatation of small bowel loops > 25 mm, altered intestinal peristalsis, increased thickness of the bowel wall, and intraperitoneal fluid accumulation. Studies also reported that emergency physicians could apply this technique with limited and short-term ultrasound training. In this article, we aim to review the sensitivity and specificity of ultrasound examinations performed by emergency physicians in patients with suspected SBO.

Atlas of Small Bowel Diseases

1988 ◽  
pp. 59-194
Author(s):  
Günther Antes ◽  
Franz Eggemann
Keyword(s):  
Small Bowel ◽  
Bowel Diseases ◽  
Small Bowel Diseases
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