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Updated: Jul 7, 2026

Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
Non-traumatic acute bowel disease: differential diagnosis with 64-row MDCT
Monica Mangini1, Gianpaolo Carrafiello, Domenico Laganà
1Department of Radiology, Ospedale di Circolo e Fondazione Macchi, University of Insubria, Viale Borri, 57-21100 Varese, Italy. monica.mangini@tin.it
Abstract:
To evaluate the role of 64-row multidetector computed tomography (MDCT) in the differential diagnosis of non-traumatic acute bowel disease. We retrospectively reviewed CT findings of 57 patients (29 men and 28 women; mean age, 65.5 years, range 19-99) who presented to our institutions with symptoms of acute abdomen. All patients underwent MDCT. MDCT diagnosis was compared with surgical findings and histological examinations. A total concordance between the MDCT findings and discharge diagnosis (based on surgical findings and histological examinations) was found in 47/57 cases (82.4%); partial discordance was seen in 10 of 57 cases (17.5%) and discordance in 0 of 57 (0%) cases. The overall sensitivity of MDCT was 82.4%. MDCT is a very reliable method in the diagnostic management of non-traumatic acute bowel diseases allowing a fast and precise differential diagnosis and therefore a timely treatment.
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