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العنوان
Evaluation of Post Pelvi-Abdominal Surgical Complications by Multi-Detector Computed Tomography /
المؤلف
Mohammed, Hager Mohsen Saleh
هيئة الاعداد
باحث / هاجر محسن صالح محمد
مشرف / محمد رفعت حبة
مشرف / أحمذ التهامي أحمذ
مشرف / أحمذ التهامي أحمذ
الموضوع
Diagnostic Radiology.
تاريخ النشر
2019
عدد الصفحات
132 P. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
الأشعة والطب النووي والتصوير
تاريخ الإجازة
1/1/2019
مكان الإجازة
جامعة قناة السويس - كلية الطب - Diagnostic Radiology
الفهرس
Only 14 pages are availabe for public view

from 142

from 142

Abstract

Radiologists have to be familiar with newer surgical techniques and expected post-operative alterations, to give a correct evaluation of a post-surgery imaging examination, to recognize any consequence as well as to differentiate a normal finding from a potential complication. The post-operative abdomen is always challenging to assess due to the overlap between the expected appearances and pathological processes especially in the early period.
Suspected post-operative complications are a common indication for CT imaging. The non-pathological postoperative changes in the mesentery, omentum and bowel may lead to diagnostic pitfalls and hence clinical correlation is of utmost importance. CT is a powerful tool for identifying the early and late post-operative complications.
The postoperative complications range from early to late temporally and from trivial to life-threatening in severity. They include bleeding, collections, obstruction, organ injury and retained foreign bodies.
This study aimed to assess the role of computed tomography in the evaluation of post pelvi-abdominal surgical complications.
Post-operative complications were divided into: procedure related and disease related complications.
CT features of fifty patients with suspected post-surgical pelvi-abdominal complications were studied and the following findings were interpreted:
1. The age of the patients in our study ranged from 28 to 65 years most of the patients were from 50-60 ys.
2. Female predominance was noted in our study, which constituted 80%.
3. Generalized abdominal pain is the commonest clinical feature in our study, which constituted 40 patients (80%).
4. Our study found that 29 patients (58%) have co-morbid diseases diabetes mellitus and hypertension.
5. Our study showed that the most common pre-surgical diagnosis was malignancy and recurrence in 38 patients (76%).
6. Laparotomies were more frequent than laparoscopies.
7. Considering the post-operative surgical findings; our study showed that recurrent malignancy was the most frequent findings.
8. Our study reported that 30 patients were managed conservatively (60%).