CT Evaluation of Small Bowel Wall Lesions
Journal Title: International Journal of Anatomy Radiology and Surgery - Year 2018, Vol 7, Issue 3
Abstract
Introduction: MDCT has lead to vast improvement in depiction and characterisation of small bowel wall lesions especially differentiation of benign and malignant lesions. Aim: To evaluate the role of MDCT in suspected small bowel lesions in patients referred to Radiology Department of a Tertiary Care Centre at Aurangabad district of Maharashtra in India. Materials and Methods: Present observational study was done on 49 patients of suspected small bowel lesions referred for MDCT during November 2014-2016. Patients presenting with symptoms related to altered bowel habits, positive small bowel wall findings on plain CT, small bowel lesions detected on ultrasound, history of trauma undergoing CT-scan with small bowel wall thickening on USG/CT were included. Patients were followed up to therapeutic/biopsy/operative diagnosis. Histopathological reports helped in retrospective confirmation of provisional diagnosis on MDCT. Results: Duodenum was most common location for malignant lesions. Ileum (43.5%) was the most common location for benign lesions. The malignant lesions showed heterogeneous mixed attenuation (100%), marked thickening (66.7%) and asymmetric thickening (100%). Benign lesions showed homogenous attenuation (89.1%), mild thickening (93.5%) and symmetrical thickening (97.8%). Focal thickening was seen in most of the malignant lesions (66.7%) while segmental involvement was seen in most of benign lesions (93.5%). All malignant lesions were associated with adjacent fat stranding. Amongst benign lesions, surrounding fat stranding was absent in 71.7% cases. Conclusion: MDCT imaging findings can provide very useful help in diagnosis of small bowel lesions along with clinical correlation especially for identification of benign or malignant nature of small bowel lesions.
Authors and Affiliations
Pushan Kumar Sharma, Devidas B Dahiphale, Asmita Suryawanshi, Abhang Apte, Saurabh Choudhari, Raj Deore
Keywords
Related Articles
- EP ID EP530522
- DOI 10.7860/IJARS/2018/32057:2415
- Views 125
- Downloads 0
Anatomical Study of Parietal Emissary Foramina in Human Skulls
ABSTRACT Introduction: Emissary veins connect the intracranial venous sinuses with the veins outside the cranium. The foramina of the skull through which they traverse are known as emissary foramina. The emissary veins a...
Impact of Transobturator Tape Procedure on Quality of Life in Female Stress Urinary Incontinence
Introduction: Stress Urinary Incontinence (SUI) is a highly prevalent condition in women. This condition is often associated with negative body image and reduced quality of life. Transobturator midurethral tape surgery i...
Developmentally and Clinically Defined Rare Anomalous Muscles in Brachium and Antebrachium
Biceps brachii is a flexor muscle of arm which frequently shows variations. Biceps has been recognised with a maximum number of seven heads. In forearm, flexor digitorum superficialis and palmaris longus show frequent va...
Non-alcoholic Wernicke’s Encephalopathy
Image In Medicine
Clinical Insight in Morphometric Analysis of Commencement of Inferior Epigastric Artery in Relation to Inguinal Ligament
ABSTRACT Introduction: The inferior epigastric artery usually arises from the external iliac artery just above the inguinal ligament. It may arise from different origin above or below the inguinal ligament. Aim: The aim...