@article{MAKHILLRJMS2024181131665,
    title = {Diagnostic Accuracy of Multi‐Detector CT in Identifying Intestinal Obstruction and Associated Complications},
    journal = {Research Journal of Medical Sciences},
    volume = {18},
    number = {11},
    pages = {604-608},
    year = {2024},
    issn = {1815-9346},
    doi = {makrjms.2024.11.604.608},
    url = {https://makhillpublications.co/view-article.php?issn=1815-9346&doi=makrjms.2024.11.604.608},
    author = {R.,Sathish and},
    keywords = {Intestinal obstruction, multidetector computed tomography, small bowel obstruction, large bowel obstruction, diagnostic accuracy, bowel ischemia, abdominal imaging},
    abstract = {<p style="text-align:justify">Intestinal obstruction is a significant surgical emergency requiring rapid diagnosis to prevent complications such as bowel ischemia, perforation and sepsis. Multi‐Detector Computed Tomography (MDCT) has emerged as a critical imaging tool for accurate diagnosis, localization and characterization of intestinal obstruction. This study aims to evaluate the diagnostic accuracy of MDCT in identifying the site, cause and complications of intestinal obstruction. A prospective observational study was conducted on 100 patients with suspected intestinal obstruction. All patients underwent MDCT imaging and findings were compared with intraoperative results or clinical outcomes. Sensitivity, specificity and predictive values were calculated to assess the accuracy of MDCT in detecting obstruction and its complications. MDCT demonstrated high sensitivity in identifying the site (95%), cause (90%) and complications (85%) of obstruction. Small bowel obstruction was more prevalent (70%) than large bowel obstruction (30%). Adhesions (40%) were the most common cause, followed by hernias (20%) and malignancies (15%). Complications detected included bowel ischemia (20%), strangulation (15%) and perforation (10%). MDCT is a highly effective imaging modality for diagnosing intestinal obstruction, providing precise anatomical details that aid in early intervention. Its high sensitivity in detecting obstruction and associated complications reinforces its role as a first‐line imaging modality in clinical practice. Early MDCT evaluation can significantly improve patient outcomes by facilitating prompt and appropriate management.</p>
}
    }