ROLE OF COMPUTED TOMOGRAPHY IN THE DIAGNOSIS OF ACUTE ABDOMEN PAIN

Abstract

Background: Computed tomography is the essential imaging methodology of decision for introductory evaluation and fills in as a practical and dynamic methodology to give a conclusive finding. Various systems of organs are incorporated at standard Abdomen CT, and an assortment of computed tomographically diagnosable infection cycles can be recognized, including states of hepatic, pancreatic, adrenal, renal, gastrointestinal, vascular, and pelvic, all of which may bring about abdomen torment and pain. Most common causes, however, incorporate acute hepatitis and issues with gall bladder such as cholelithiasis as reported in existing literature

Objective(s): The present study was thus conducted to evaluate the role of Computed tomography in diagnose of acute abdominal diseases

Methodology:: This study was based on a non-descriptive study design conducted at DHQ hospital Okara in Pakistan. One hundred and sixty nine patients (N=169 M/F) having an active history of abdomen pain were included in the study. CT findings of all these patients was assessed and data was recorded regarding the cause of abdomen pain. Patients with accidental history including inflammation, rib fracture or with conditions not visual sable on ultrasound were not incorporated in the study

Results: In this descriptive study through Convenient sampling technique, we have selected total 169 patients in which 102 patients was females and 67 was male, the minimum age of the patients included in the study was about 20 and maximum age was around  84. Out of 169 patients 43 patients pain in left lower quadrant, 81 experiences pain in right upper quadrant, patients with left upper quadrant pain was 25 and lower left quadrant patients presenting with pain was 20. There was 95 patients who experiences general abdomen patients out of 169 patients and patients with sharp stabbing pain was 59 and 15 patients presented with sensitive to touch. Cholelithiasis was the highest, present in 24.3% patients followed by acute appendicitis (19.5%), small bowl obstruction 15.4% and acute pancreatitis 13.6 %. Other recorded causes included kidney stone in 16 patients about 9.5%, acute splenomegaly and acute biliary colic both was present in 4.1% patients. Other non-significant causes included acute diverticulitis and acute bowl obstruction 3.6% both, and patients with acute hemoperitionium was 2.4%

Conclusion: In our  study conclusion, the causes of abdominal pain is  significant entity in endemic areas, and this may present as cholelithiasis, hepatic hemangioma, and right renal cyst. Although in some cases non-significant causes included small bowl obstuction, kidney stone and  acute appendicits are causes pain. CT seems to be an important diagnostic modelity in both the diagnosis and follow-up of abdomen pain and it may provide a faster, easier method of diagnosis.