title: Non-traumatic acute bowel disease: differential diagnosis with 64-row MDCT.
abstract: To evaluate the role of 64-row multidetector computed tomography (MDCT) in the differential diagnosis of non-traumatic acute bowel disease. We retrospectively reviewed CT findings of 57 patients (29 men and 28 women; mean age, 65.5 years, range 19-99) who presented to our institutions with symptoms of acute abdomen. All patients underwent MDCT. MDCT diagnosis was compared with surgical findings and histological examinations. A total concordance between the MDCT findings and discharge diagnosis (based on surgical findings and histological examinations) was found in 47/57 cases (82.4%); partial discordance was seen in 10 of 57 cases (17.5%) and discordance in 0 of 57 (0%) cases. The overall sensitivity of MDCT was 82.4%. MDCT is a very reliable method in the diagnostic management of non-traumatic acute bowel diseases allowing a fast and precise differential diagnosis and therefore a timely treatment.
authors.affiliation: Department of Radiology, Ospedale di Circolo e Fondazione Macchi, University of Insubria, Viale Borri, 57-21100 Varese, Italy. monica.mangini@tin.it
authors.forename: Monica
authors.initials: M
authors.lastname: Mangini
authors.forename: Gianpaolo
authors.initials: G
authors.lastname: Carrafiello
authors.forename: Domenico
authors.initials: D
authors.lastname: Laganà
authors.forename: Laura
authors.initials: L
authors.lastname: Palma
authors.forename: Raffele
authors.initials: R
authors.lastname: Novario
authors.forename: Gianlorenzo
authors.initials: G
authors.lastname: Dionigi
authors.forename: Carlo
authors.initials: C
authors.lastname: Neri
authors.forename: Carlo
authors.initials: C
authors.lastname: Fugazzola
mesh_terms: D000006:Abdomen, Acute / Q000000981:diagnostic imaging*; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003287:Contrast Media; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007410:Intestinal Diseases / Q000000981:diagnostic imaging*; D007479:Iopamidol / Q000031:analogs & derivatives; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012680:Sensitivity and Specificity; D014057:Tomography, X-Ray Computed / Q000379:methods*
chemical_list: D003287:Contrast Media; C057937:iomeprol; D007479:Iopamidol