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Multidetector row computed tomography in bowel obstruction. Part 2. Large bowel obstruction
1Department of Radiology, Glenfield Hospital, Leicester, UK. rakesh.sinha@uhl-tr.nhs.uk
Clinical Radiology
|September 24, 2005
Summary
Large bowel obstruction can be a medical emergency leading to perforation and severe complications. Multidetector row computed tomography (MDCT) offers accurate diagnosis, with rapid imaging minimizing artifacts in difficult patients.
Area of Science:
- Radiology
- Gastroenterology
- Surgical Pathology
Background:
- Large bowel obstruction is a critical condition that can lead to perforation, fecal peritonitis, and significant morbidity and mortality.
- Prompt and accurate diagnosis is essential for effective management of colonic obstruction.
Purpose of the Study:
- To review the causes of large bowel obstruction.
- To highlight key pathogenic factors and characteristic CT appearances.
- To emphasize the utility of multiplanar reformatted images in diagnosis.
Main Methods:
- Review of literature on large bowel obstruction.
- Analysis of Multidetector row computed tomography (MDCT) imaging features.
- Focus on pathogenic mechanisms and CT findings.
Main Results:
- MDCT provides accurate diagnosis of large bowel obstruction.
- Rapid image acquisition in MDCT reduces motion artifacts, crucial for critically ill patients.
- Multiplanar reformatted images enhance diagnostic accuracy.
Conclusions:
- MDCT is a valuable tool for diagnosing large bowel obstruction.
- Understanding CT appearances aids in identifying causes and guiding management.
- MDCT facilitates early detection and intervention, potentially reducing complications.