The Role of Multi detector CT in Patients Presented with Undiagnosed Acute Abdorminal Conditions

Abstract

Background Intense stomach area traditionally alludes to torment inside the belly that has introduced for less than 7 days from the season of introduction. The utilization of CT check in the assessment of intense stomach agony has been expanded to an enormous degree because of high precision of CT in the analysis of explicit infections like a ruptured appendix and diverticulitis, particularly with the utilization of multi detector CT scanners. It has been demonstrated that the utilization of intravenous differentiation media builds the indicative exactness of CT check examination. The exactness of CT output imaging in patients with intense stomach conditions does not influenced by the absence of entral differentiate material.

Aims of Study

• To decide the reason for intense stomach conditions in those with dubious conclusion by physical examination, U/S or plain X-beam.
• To assess the demonstrative precision of difference improved CT check versus unenhanced CT filter examination in the determination of intense stomach conditions.

Patients and Techniques

This planned report had been directed at Al-Sader medicinal city from the first of January 2013 to the first of December 2013.

This examination incorporated all patients introduced to the crisis division with non-awful intense stomach conditions with dubious basic reason where the specialist unfit to recognize the careful hidden pathology inspite of nitty gritty history, appropriate physical examinations, stomach U/S, and plain stomach XR as the discoveries of radiological examinations were negative or uncertain.

This examination included (40) patients, (22 male &18 female). Non improved CT output was performed first for all patients which was adequate to achieve the determination in (11) patients (27.5%), differentiate material was not utilized in light of the fact that blood urea was raised in 3 patients (7.5%). In (4) a patient (10%), CT angiography convention was performed for patients with suspected mesenteric vessels pathology. In the rest of the (22) patients (55%), intravenous complexity was given physically by means of a wide bore cannula (measure 18) and post difference sweep done in the entrance stage (postpone time 45-50 second).

Results

In this examination, which was performed on (40) patients with undiscovered intense stomach conditions, we found that intense pancreatitis (10 patients) (25%) was the most widely recognized reason for undiscovered intense stomach torment pursued by intestinal hindrance (6 patients) (15%), while intense cholecystitis (4patients) (10%), entry or mesenteric vein thrombosis (4 patients) (10%), punctured viscus, (3 patients) (7.5%), mesenteric blood vessel thrombosis (2 patients) (5%), left gastric supply route aneurysm (1patient) (2.5%), intense appendicitis(1tolerant) (2.5%)diverticulitis (1patient) (2.5%) and ectopic pregnancy (1patient) (2.5%). In (7 patients) (17.5%), no particular pathology could be recognized.

Keywords: Multi detector CT; Patients’ undiagnosed acute abdominal conditions.