Role of Multislice CT in Evaluation of Acute Abdomen

Abstract

his study was conducted on 50 patients presenting with various non-traumatic acute abdominal conditions. The aim of this work is to study the role of multidetector computed tomographic (MDCT) imaging in diagnosis of nontraumatic acute abdomen. All patients were subjected to full history taking and thorough clinical and laboratory investigations, multi-slice CT Toshiba 320 dual processor examination of the abdomen and pelvis were performed for all patients, selecting the protocol and considering the ALARA (‘as low as reasonably achievable’) general principles to reduce the radiation exposure while maintaining diagnostic image quality. This study included 34 males (68%) and 16 females (32%). Their age ranged between five year-old and fifty year-old (Average 28 year-old). Acute abdominal pain was the main complain of all cases, however, Seventeen patients presented with abdominal distention (34%), ten patients presented with fever (20%), eight patients presented with vomiting (16%) and five patients complained of constipation (10%). Based on the MDCT findings, definitive complete diagnosis was reached in all patients including 15 patients diagnosed as acute appendicitis (30%), 6 patients as intestinal obstruction (12%), 10 patients diagnosed as renal stones (20%), T