الفهرس 
Anatomy of small bowelOnly 14 pages are availabe for public view
 |  | from | 158 |  |  |
| | | from | 158 | | |
Abstract
Background: Intestinal obstruction is a frequently encountered emergency condition requiring urgent management. The early diagnosis and detection of intestinal obstruction is important to prevent bowel ischemia and necrosis and the resultant bowel resection
Aim: the aim of the study was to discuss the usefulness of MDCT in the evaluation of intestinal obstruction, the underlying causes, and the related conditions with correlation with surgical decision.
Patients and Methods: this study was a prospective Cohort study which included 34 patients who presented with symptoms and signs suggesting primary diagnosis of small bowel obstruction from November 2022 to September 2023. All of them underwent MDCT study on abdomen and pelvis with coronal and sagittal reformatted images to assess presence of bowel obstruction.
Results: 34 patients had provisional diagnosis with MDCT as small bowel obstruction, 20 cases were taken for exploratory laparotomy and 12 patients were managed conservatively, 2 patients operated after failed medical treatment. There was excellent and highly significant kappa agreement between MDCT provisional diagnosis and final surgical diagnosis except for two cases that falsely diagnosed as adhesive SB obstruction and another intraperitoneal hematoma case falsely diagnosed as intussusception by MDCT.
Conclusion: MDCT is highly sensitive and specific in determining the presence or absence of small bowel obstruction, the cause of obstruction and complications