MDCT signs predicting internal hernia and strangulation in patients presented to emergency department with acute small bowel obstruction
| Autor: | Ayman M. S. Ahmed, Mohammad Zakaryia Al-Azzazy, Wesam Amr, Fatma Zaiton |
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| Rok vydání: | 2016 |
| Předmět: |
lcsh:Medical physics. Medical radiology. Nuclear medicine
Internal hernia medicine.medical_specialty lcsh:R895-920 Paraduodenal hernia 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Multidetector computed tomography Medicine Radiology Nuclear Medicine and imaging In patient cardiovascular diseases business.industry Multidetector CT Small bowel strangulation Emergency department medicine.disease Bowel obstruction Radiology Nuclear Medicine and imaging 030220 oncology & carcinogenesis cardiovascular system Radiology Surgical diagnosis Complication business |
| Zdroj: | The Egyptian Journal of Radiology and Nuclear Medicine, Vol 47, Iss 4, Pp 1185-1194 (2016) |
| ISSN: | 0378-603X |
| DOI: | 10.1016/j.ejrnm.2016.08.018 |
| Popis: | Objective We prospectively evaluate multidetector computed tomography (MDCT) criteria of internal hernia, and related complication as intestinal strangulation. Methods 27 patients presented to emergency department with acute small bowel obstruction (ASBO) and diagnosed with MDCT as IH were included. Validity of different MDCT criteria in diagnosing IH was compared with surgical diagnosis. Results Surgical diagnosis was 22 patients with IH (14 paraduodenal and 8 transmesenteric hernia) and 5 false positive cases. There was excellent agreement between MDCT and surgery in diagnosing paraduodenal hernia (k = 1), and good agreement in diagnosing transmesenteric hernia (k = 0.624). Significant MDCT criteria include the following: cluster of small-bowel (p |
| Databáze: | OpenAIRE |
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