Intestinal Obstruction: Role of MDCT with Surgical Correlation

Role of MDCT in Intestinal Obstruction

Abstract

Background: To evaluate efficacy of CT (computed tomography) in diagnosis of the presence and cause of obstruction along with correlation of CT findings with the operative findings. Subjects and Methods: This prospective study included evaluation of forty patients, clinically suspected of intestinal obstruction by CT examination whose surgical follow up data  was available. All patients (age >18yrs) clinically suspected for intestinal obstruction were included. Results: Highly significant correlation was found between CT and operative findings in diagnosis of the cause of obstruction with p value of <0.01 and cohens kappa value ranging from 0.8 to 1 (highly significant correlation). Conclusion: MDCT (Multi detector computed tomography) by using its multiplanar and 3D capabilities is highly accurate and specific in detecting the presence of intestinal obstruction and it can demonstrate the exact site of obstruction in high percent of cases, hence is helpful for appropriate treatment plan and management of the patient.