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An Approach to Point-Of-Care Ultrasound Evaluation of the Abdominal Aorta

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Bowel obstruction: comparison between multidetector-row CT axial and coronal planes.

Antonella Filippone¹, Roberta Cianci, Maria Luigia Storto

¹Department of Clinical Sciences and Bioimages, Section of Radiology, G. d'Annunzio University of Chieti, SS. Annunziata Hospital, Via dei Vestini, 66013 Chieti, Italy. a.filippone@rad.unich.it

Abdominal Imaging

|August 29, 2006

Summary

Computed tomography (CT) aids in diagnosing bowel obstruction, especially when using coronal views. Coronal imaging is valuable for small bowel obstruction and can potentially replace axial views for large bowel obstruction, improving diagnostic accuracy.

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Area of Science:

Radiology and Imaging
Gastroenterology
Abdominal Imaging

Background:

Acute bowel obstruction is a frequent emergency department presentation with non-specific clinical signs.
Abdominal radiographs are often inconclusive for determining the cause and site of obstruction.
Computed tomography (CT) is effective for identifying obstruction but axial plane interpretation has limitations.

Purpose of the Study:

To evaluate the utility of coronal plane imaging in multidetector-row CT (MDCT) for diagnosing bowel obstruction.
To compare the diagnostic value of coronal versus axial CT planes in small and large bowel obstructions.

Main Methods:

Review of abdominal CT scans, focusing on the application of coronal reformations.
Analysis of the effectiveness of coronal views in identifying the transition point in small bowel obstruction.
Assessment of coronal plane utility in determining the site and cause of large bowel obstruction.

Main Results:

Coronal CT planes are useful for identifying the transition point in small bowel obstruction.
Coronal imaging can be a valuable adjunct or potential replacement for axial images in large bowel obstruction.
Combined interpretation of axial and coronal CT images yields the highest diagnostic confidence for large bowel obstruction.

Conclusions:

Coronal plane imaging significantly enhances the evaluation of small bowel obstruction.
MDCT with coronal reformations improves the diagnosis of large bowel obstruction, complementing axial views.
Integrating coronal views into CT interpretation protocols can optimize the diagnostic accuracy for various types of bowel obstruction.