scholarly journals Intestinal Bowel Wall Thickening Analysis on MDCT: A Retrospective Study

2020 ◽  
Vol 8 (1) ◽  
pp. 106-109
Author(s):  
Jefrin Roy Mathew ◽  
A Parthasarathi ◽  
BT Deepthi ◽  
U Harsha
Keyword(s):  
Computed Tomography ◽  
Inflammatory Bowel Disease ◽  
Bowel Wall ◽  
Correct Diagnosis ◽  
Wall Thickening ◽  
Common Causes ◽  
History Of ◽  
Bowel Wall Thickening ◽  
Inflammatory Bowel ◽  
Operative Findings

Background: The aim of this study was to determine the causes and establish the significance of bowel wall thickening on abdominal computed tomography. Subjects and Methods: Consecutive abdominal CT’s between January 2019 and December 2019 with findings of duodenal, jejunal, ileal and colonic ‘bowel wall thickening ‘on the formal report was reviewed retrospectively. The patients history, inpatient course & subsequent colonoscopy and /or operative findings were also reviewed. Results: Of the 88 consecutive CT abdomen’s identified, infection (26.1%) and new cancer (22.7%) were the most common causes. Bowel obstruction (12.5%) and Inflammatory Bowel Disease (10.2%) were relatively uncommon causes. Overall 40/88 (45%) & 14/88 (15%) patients underwent subsequent colonoscopy and progressed directly to surgery respectively; of these 36/40 (90%) of the former and 14/14 (100%) of the latter showed findings similar to CT. Conclusion: When thickening of the bowel is detected with CT; pattern of the thickening, accompanying findings, history of the patient and clinical features must be evaluated together to reach prompt and correct diagnosis. All cases detected with bowel wall thickening on CT abdomen should warrant a subsequent colonoscopy.

scholarly journals P129 The utility of routine operative swab culture in uncomplicated peri-anal abscesses

BJS Open ◽  
2021 ◽  
Vol 5 (Supplement_1) ◽  
Author(s):  
Apoorva Khajuria ◽  
Tuba Rahim ◽  
Mariam Baig ◽  
Kai Leong ◽  
Apoorva Khajuria
Keyword(s):  
Inflammatory Bowel Disease ◽  
Perianal Abscess ◽  
Female Ratio ◽  
Incision And Drainage ◽  
Common Presentation ◽  
History Of ◽  
Inflammatory Bowel ◽  
Operative Findings ◽  
The Cost ◽  
Male To Female

Abstract Introduction Despite perianal abscess being a common presentation, certain aspects of its management remain controversial, especially the routine use of intra-operative swab cultures. Methods A retrospective review of patients that underwent incision and drainage procedures for a perianal abscess over a six-month period was undertaken. Results Over 6 months, 50 patients were identified. The male to female ratio was 3:1 and median ASA score was 1. Only 6/50 patients presented with recurrent abscess and 1 patient had history of inflammatory bowel disease. On the basis of operative findings, 39 patients (78%) had uncomplicated abscess (not associated with cellulitis, sinus or fistula); swab cultures were performed in 26 (67%) of these patients. All patients were discharged on the same day; microbiology reports did not impact the treatment and no patients were followed up in clinic post-operatively or presented with recurrence. The number of unnecessary microbiology swabs undertaken in this cohort equates to approximately 52 unnecessary swabs a year. The cost of one swab is £10.10p, which means £520 could potentially be saved annually. Conclusion Routine intra-operative swab cultures do not impact management decisions, add to unnecessary costs and therefore should not be undertaken in uncomplicated or first presentation of peri-anal abscesses.

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 Epiploic Appendagitis: An Often Misdiagnosed Cause of Acute Abdomen

2019 ◽  
Vol 13 (3) ◽  
pp. 364-368
Author(s):  
Vishnu Charan Suresh Kumar ◽  
Kishore Kumar Mani ◽  
Hisham Alwakkaa ◽  
James Shina
Keyword(s):  
Abdominal Pain ◽  
Bowel Wall ◽  
Acute Diverticulitis ◽  
Lower Abdominal Pain ◽  
Wall Thickening ◽  
Antibiotic Administration ◽  
Epiploic Appendagitis ◽  
High Attenuation ◽  
History Of ◽  
Bowel Wall Thickening

Epiploic appendages are peritoneal structures that arise from the outer serosal surface of the bowel wall towards the peritoneal pouch. They are filled with adipose tissue and contain a vascular stalk. Epiploic appendagitis is a rare cause of acute lower abdominal pain. It most commonly results from torsion and inflammation of the epiploic appendages, and its clinical features mimic acute diverticulitis or acute appendicitis resulting in being often misdiagnosed as diverticulitis or appendicitis. This frequently leads to unnecessary hospitalization, antibiotic administration, and unwarranted surgeries. Epiploic appendagitis is usually diagnosed with CT imaging, and the classic CT findings include: (i) fat-density ovoid lesion (hyperattenuating ring sign), (ii) mild bowel wall thickening, and (iii) a central high-attenuation focus within the fatty lesion (central dot sign). It is treated conservatively, and symptoms typically resolve in a few days. Therefore, epiploic appendagitis should be considered as one of the differential diagnosis for acute lower abdominal pain and prompt diagnosis of epiploic appendagitis can avoid unnecessary hospitalization and surgical intervention. In this case report, we discuss a 72-year-old woman who presented with a 2-day history of acute left lower abdominal pain.

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

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.

593 The Utility of Routine Operative Swab Culture in Uncomplicated Peri-Anal Abscesses

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
A Khajuria
Keyword(s):  
Inflammatory Bowel Disease ◽  
Perianal Abscess ◽  
Female Ratio ◽  
Incision And Drainage ◽  
Common Presentation ◽  
History Of ◽  
Inflammatory Bowel ◽  
Operative Findings ◽  
The Cost ◽  
Male To Female

Abstract Introduction Despite perianal abscess being a common presentation, certain aspects of its management remain controversial, especially the routine use of intra-operative swab cultures. Method A retrospective review of patients that underwent incision and drainage procedures for a perianal abscess over a six-month period was undertaken. Results Over 6 months, 50 patients were identified. The male to female ratio was 3:1 and median ASA score was 1. Only 6/50 patients presented with recurrent abscess and 1 patient had history of inflammatory bowel disease. On the basis of operative findings, 39 patients (78%) had uncomplicated abscess (not associated with cellulitis, sinus or fistula); swab cultures were performed in 26 (67%) of these patients. All patients were discharged on the same day; microbiology reports did not impact the treatment and no patients were followed up in clinic post-operatively or presented with recurrence. The number of unnecessary microbiology swabs undertaken in this cohort equates to approximately 52 unnecessary swabs a year. The cost of one swab is £10.10p, which means £520 could potentially be saved annually. Conclusions Routine intra-operative swab cultures do not impact management decisions, add to unnecessary costs and therefore should not be undertaken in uncomplicated or first presentation of peri-anal abscesses.

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