scholarly journals S3107 The Correlation Between Bowel Wall Thickening on Computed Tomography and Subsequent Colonoscopy in Patients With Suspected Colitis

2020 ◽  
Vol 115 (1) ◽  
pp. S1635-S1636
Author(s):  
Muaataz Azzawi ◽  
Maher Homsi ◽  
Marc Ayoub ◽  
Jonathan Vincent M. Reyes ◽  
Bhanu Singh ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Bowel Wall ◽  
Wall Thickening ◽  
Bowel Wall Thickening

Significance of Bowel Wall Thickening on Computed Tomography Scan: Higher Risk of Pathology Among African Americans Compared to Hispanics

2009 ◽  
Vol 101 (4) ◽  
pp. 345-348 ◽  
Author(s):  
Pikeshkumar Patel ◽  
David Widjaja ◽  
Steve Blum ◽  
Mariela Glandt ◽  
jagadish Akella ◽  
...  
Keyword(s):  
Computed Tomography ◽  
African Americans ◽  
Bowel Wall ◽  
Wall Thickening ◽  
Computed Tomography Scan ◽  
Bowel Wall Thickening ◽  
Tomography Scan

scholarly journals Clinical Significance of Bowel Wall Thickening Detected with 64-Slice Multidetector Computed Tomography

2009 ◽  
Vol 54 (3) ◽  
pp. 149 ◽  
Author(s):  
Jee In Jeong ◽  
Byeong Chool Park ◽  
Won Joong Jeon ◽  
Hee Bok Chae ◽  
Seon Mee Park ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Multidetector Computed Tomography ◽  
Clinical Significance ◽  
Bowel Wall ◽  
Wall Thickening ◽  
Bowel Wall Thickening

scholarly journals Computed tomography findings of bowel wall thickening: its significance and relationship to endoscopic abnormalities

2012 ◽  
Vol 94 (1) ◽  
pp. 23-27 ◽  
Author(s):  
MM Uzzaman ◽  
A Alam ◽  
MS Nair ◽  
R Borgstein ◽  
L Meleagros
Keyword(s):  
Computed Tomography ◽  
Rectal Bleeding ◽  
Transverse Colon ◽  
Bowel Wall ◽  
Malignant Lesion ◽  
Wall Thickening ◽  
Neoplastic Disease ◽  
Endoscopic Evaluation ◽  
Neoplastic Lesion ◽  
Bowel Wall Thickening

INTRODUCTION The aim of this study was to conduct retrospective analysis of abdominopelvic computed tomography (CT) reports, identifying those patients in whom bowel wall thickening (BWT) was observed, and to correlate these reports with subsequent endoscopic evaluation. METHODS Formal reports for all patients undergoing abdominopelvic CT between February 2007 and September 2009 were reviewed. Where patients were identified as having colorectal ‘wall thickening’, results of subsequent endoscopic evaluations were documented. Only those patients with a report of BWT who had follow-up endoscopy (colonoscopy, sigmoidoscopy) were included in the analysis. RESULTS A total of 165 patients were included. Abnormalities on endoscopy at the exact site of the BWT on CT were found in 95 patients (57.58%); in 36 cases (21.82%) this was a malignant lesion. BWT of the transverse colon was significantly more likely to correspond to an endoscopic finding of cancer than other sites (p=0.034). Rectal bleeding was reported significantly more often in patients with BWT and neoplastic disease on endoscopy compared with those with normal endoscopy (p=0.04). Excluding patients with inflammatory/diverticular lesions, 59.02% of Caucasians had a neoplastic lesion at the site of reported BWT, significantly higher than the other ethnic groups (p=0.008). There were 38 patients (23.03%) who did not present with bowel symptoms and, of these, 6 were diagnosed subsequently with colorectal cancer. CONCLUSIONS This study supports endoscopic evaluation to investigate patients with CT evidence of BWT, especially in cases involving the transverse colon, in Caucasian patients or in association with symptoms of rectal bleeding.

scholarly journals Role of Multidetector Computed Tomography in Patients of Acute Mesenteric Ischaemia and its Comparison with Clinicosurgical Outcome: A Cross-sectional Study

2021 ◽  
Author(s):  
Narinder Salhotra ◽  
Ritu Dhawan ◽  
Anisha Galhotra ◽  
Arnav Galhotra ◽  
Chandan Kakkar ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Bowel Wall ◽  
Pneumatosis Intestinalis ◽  
Wall Thickening ◽  
Mesenteric Ischaemia ◽  
First Line ◽  
Cross Sectional ◽  
Acute Mesenteric Ischaemia ◽  
Bowel Wall Thickening ◽  
Bowel Dilatation

Introduction: Acute mesenteric ischaemia is an abdominal emergency occurring in nearly 1% of patients presenting with acute abdomen. Early diagnosis is very important for the improved survival of the patient. Acute mesenteric ischaemia frequently presents with non specific features such as vomiting, loose stools and abdominal distension. The classical triad of fever, haematochezia and abdominal pain is seen in only 30% of the patients so, it is difficult to diagnose clinically. Multidetector Computed Tomography (MDCT) is gold standard and first line test to diagnose intestinal ischaemia. Aim: To assess the efficacy of MDCT in the diagnosis of acute mesenteric ischaemia and to compare its outcome with surgical and/or clinical findings. Materials and Methods: In this cross-sectional descriptive study conducted from 1st November 2018 to 31st May 2020, MDCT was performed on 40 patients (23 male; 17 female, age range: 28-93 years). Axial and reconstructed images of each patient were evaluated for evidence of bowel wall thickening, bowel wall attenuation, abnormal wall enhancement, bowel dilatation, mesenteric stranding, ascites, solid organ infarcts, pneumatosis intestinalis or portomesenteric gas, and mesenteric arterial or venous thrombosis. Multidetector CT findings were compared with the surgical findings and clinical outcome. Results were expressed in terms of frequency and percentages. Results: Out of 40 patients, most common cause of acute mesenteric ischaemia was arterial thrombosis, seen in 20 patients (50%) while 13 patients (32.5%) had portomesenteric venous thrombosis and 7 (17.5%) patients were diagnosed with non occlusive mesenteric ischaemia. CT finding of bowel wall thickening and bowel dilatation however non specific were seen in majority of patients (62.5% and 70%, respectively). Mesenteric fat stranding and ascites were seen in 95% and 77.5% cases respectively. Specific signs of acute mesenteric ischaemia includes hypoenhancing and non enhancing bowel walls seen in 27 patients (67.5%). Pneumatosis intestinalis and portomesenteric pneumatosis in 20% patients. A total of 27 patients underwent surgery and 13 patients were managed conservatively. On comparing the CT findings with intraoperative/ histopathological findings, accuracy of MDCT in the diagnosis of acute mesenteric ischaemia in this study was 96.39%. Conclusion: MDCT should be the first line imaging modality to diagnose acute mesenteric ischaemia and to exclude other causes of acute abdomen. It is an excellent and fast modality to diagnose bowel ischaemia, as it can visualise both the bowel and mesenteric changes as well as accurately depict the mesenteric vasculature.

The Significance of Bowel Wall Thickening on Abdominal Computed Tomography at an Australian Hospital

2016 ◽  
Vol 111 ◽  
pp. S77-S78
Author(s):  
Nayana George ◽  
Saad Khan ◽  
Askin Gunes ◽  
Paul Machado ◽  
Jordan Bade-Boon ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Bowel Wall ◽  
Wall Thickening ◽  
Abdominal Computed Tomography ◽  
Bowel Wall Thickening ◽  
Australian Hospital
Sign in / Sign up

Export Citation Format

Share Document