Multidetector Computed Tomography in Large Bowel Lesions—A Study of 100 Cases

This study aims to evaluate the role of multidetector computed tomography (MDCT) in detecting and classifying the large bowel lesions. A prospective study of 100 adult patients was conducted from June 2007 to October 2009. Rectal and IV contrast were used for three dimensional reconstruction. Angiog...

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Bibliographic Details
Published in:Indian journal of surgery 2011-10, Vol.73 (5), p.352-358
Main Authors: Bhatt, Chhaya Jagat, Patel, Love N., Baraiya, Mihir, Patel, Kalpesh K., Vaishnav, Kavita U., Shah, Dharita S.
Format: Article
Language:English
Subjects:
Angiography
Cardiac Surgery
Colitis
Colonoscopy
CT imaging
Large intestine
Medicine
Medicine & Public Health
Neurosurgery
Original
Original Article
Pathology
Pediatric Surgery
Plastic Surgery
Surgery
Thoracic Surgery
Tomography
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Summary:This study aims to evaluate the role of multidetector computed tomography (MDCT) in detecting and classifying the large bowel lesions. A prospective study of 100 adult patients was conducted from June 2007 to October 2009. Rectal and IV contrast were used for three dimensional reconstruction. Angiography was performed in cases of suspected ischemic pathology. CT colongraphy was done to evaluate adenomas. CT findings were correlated and confirmed by either colonoscopy, biopsy, postoperative findings or follow-up CT. The pathologies were common in 50–70 yrs (44%). M: F ratio was 2:1. Malignant lesions were seen in (55%) followed by inflammatory lesions in 26%, diverticulitis and ischemic colitis in 6% each. Miscellaneous conditions like polyps, volvulus and intussusceptions were seen in 7%. Adenocarcinoma was the common malignancy (81.2%). Present study showed that adenocarcinomas were associated with marked thickening of bowel wall (>1.5 cm) in 85.4% of patients, asymmetrical wall thickening (96.4%), focal involvement (length
ISSN:0972-2068
0973-9793
DOI:10.1007/s12262-011-0325-3