Optimized Protocol of Multiple Post-Processing Techniques Improves Diagnostic Accuracy of Multi-Detector Computed Tomography for Assessing Small Bowel Obstruction Compared with Conventional Axial and Coronal Reformations

2018 ◽  
Author(s):  
Lian-qin Kuang ◽  
Wei Tang ◽  
Xin Chen ◽  
Ran Li ◽  
Cheng Cheng ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Small Bowel ◽  
Diagnostic Accuracy ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Post Processing ◽  
Optimized Protocol ◽  
Processing Techniques ◽  
Coronal Reformations ◽  
Multi Detector Computed Tomography

scholarly journals SMALL BOWEL OBSTRUCTION SECONDARY TO OBTURATOR HERNIA: A PRE-OPERATIVE DIAGNOSIS AT COMPUTED TOMOGRAPHY

2021 ◽  
Vol 6 (1) ◽  
pp. 46-49
Author(s):  
Marlina Tanty Ramli ◽  
Mohd Shukry Mohd Khalid ◽  
Kartini Rahmat
Keyword(s):  
Computed Tomography ◽  
Small Bowel ◽  
Elderly Patients ◽  
Intestinal Obstruction ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Surgical Intervention ◽  
Obturator Hernia ◽  
Uneventful Recovery ◽  
Presenting Symptoms

Obturator hernia is rare, but it must be considered in elderly patients who present with small bowel obstruction. The diagnosis is challenging unless there is a high index of suspicion as the presenting symptoms and signs are usually non-specific. Presence of positive Howship-Romberg sign is considered pathognomonic. Early diagnosis and rapid surgical intervention will reduce the high morbidity and mortality associated with undiagnosed obturator hernia. We report a case of a 93-year-old female patient who was admitted to our surgical department with symptoms of intestinal obstruction of 3-days duration. Howship-Romberg sign was negative. Computed tomography (CT) demonstrated the presence of left obturator hernia with proximal small bowel obstruction and no sign of strangulation. The patient had emergency laparotomy post-CT where the incarcerated bowel loop was released and the obstructed bowel was decompressed without any complication. The hernial defect was close with a mesh and the patient had an uneventful recovery post-surgery. In this case, we highlight that diagnosis of obturator hernia must always be considered in elderly patients who present with intestinal obstruction. Urgent CT could establish a rapid pre-operative diagnosis and aids inappropriate surgical intervention planning which is crucial in optimising the outcome.

Diagnostic accuracy of ultrasound for small bowel obstruction: A systematic review and meta-analysis

2021 ◽  
Vol 136 ◽  
pp. 109565
Author(s):  
You-Cheng Lin ◽  
Yi-Chung Yu ◽  
Yu-Ting Huang ◽  
Yun-Yu Wu ◽  
Ting-Cheng Wang ◽  
...  
Keyword(s):  
Systematic Review ◽  
Small Bowel ◽  
Diagnostic Accuracy ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Meta Analysis

Computed tomography findings of internal hernia after gastric bypass that may precede small bowel obstruction

Hernia ◽  
2015 ◽  
Vol 20 (3) ◽  
pp. 471-477 ◽  
Author(s):  
J. Park ◽  
M. Chung ◽  
J. Teixeira ◽  
J. Baer ◽  
D. Frager
Keyword(s):  
Computed Tomography ◽  
Gastric Bypass ◽  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Internal Hernia
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