Role of computed tomography scoring system in management of small-bowel obstruction

2017 ◽  
Vol 5 (2) ◽  
pp. 65
Author(s):  
Atul Jain ◽  
Tanweer Karim ◽  
Subhajeet Dey ◽  
Meenu Garg ◽  
Shashank Mishra ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Scoring System

Can a computed tomography scoring system predict the need for surgery in small-bowel obstruction?

2007 ◽  
Vol 194 (6) ◽  
pp. 780-784 ◽  
Author(s):  
Kory Jones ◽  
Alicia J. Mangram ◽  
Ricardo A. Lebron ◽  
Lennard Nadalo ◽  
Ernest Dunn
Keyword(s):  
Computed Tomography ◽  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Scoring System

Role of computed tomography in elderly patients with small bowel obstruction

2012 ◽  
Vol 73 (4) ◽  
pp. 233-233
Author(s):  
Rajaraman Durai ◽  
Ahmad El Gaddal ◽  
Chu Yiu ◽  
Midhat Siddiqui ◽  
Tayo Oke
Keyword(s):  
Computed Tomography ◽  
Small Bowel ◽  
Elderly Patients ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction

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.

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