Urgent surgery – the role of computed tomography
https://doi.org/10.24835/1607-0763-2018-6-59-68
Abstract
Introduction. Acute abdomen is a complex condition that demands urgent diagnostics and treatment.
The propose of the study based on data we got in the Radiology Department of S.P. Botkin Municipal Clinical Hospital is to evaluate the role of computed tomography in acute abdomen diagnostics.
Materials and methods. 637 acute abdomen patient`s data were retrospectively analyzed, provided in the term from January 2017 to January 2018. The average age was 53 years old, from 18 to 98 y.o. Male to female ratio was 1:1,51, male – 383, female – 254. Inclusion criteria was acute abdomen clinical presentation.
Results. The most frequently seen conditions were ileus – 226 cases (35.5%), acute pancreatitis/pancreonecrosis – 185 cases (29%), ureteral occlusion with stones – 83 cases (13%), blunt abdominal trauma – 57 cases (9%), renal abscesses and inflammation diseases – 56 cases (9%). Liver abscesses – 13 cases (2%), mesenteric ischemia – 10 cases (1.5%), acute appendicitis – 4 (0,5%), aortic dissection – 2 cases (0,3%), hollow viscus perforation – 1 case (0.2%).
Conclusion. CT with high accuracy and in a short time identify the reason of acute abdomen in all shown cases that highly improve the quality of medical management.
About the Authors
A. V. Arablinskiy
S.P. Botkin Municipal Clinical Hospital of Moscow Healthcare Department;
Sechenov First Moscow State Medical University
Russian Federation
Russian Federation
Andrei V. Arablinskiy – doct. of med. sci., Professor, Head of the radiology Department
Professor of Department of Imaging and Radiation Therapy
V. B. Rumer
S.P. Botkin Municipal Clinical Hospital of Moscow Healthcare Department
Russian Federation
Russian Federation
Veronika B. Rumer – radiologist of Department of beam diagnostics
125284 Moscow, 2nd Botkinskij proezd, 5. Phone: +7-916-977-18-41
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Review
For citations:
Arablinskiy A.V., Rumer V.B. Urgent surgery – the role of computed tomography. Medical Visualization. 2018;22(6):59-68. (In Russ.) https://doi.org/10.24835/1607-0763-2018-6-59-68
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