[Spiral CT diagnosis of early postoperative inflammatory small bowel obstruction]

Zhonghua Yi Xue Za Zhi. 2010 Dec 7;90(45):3214-6.
[Article in Chinese]

Abstract

Objective: To discuss the computerized tomography (CT) finding of early postoperative inflammatory small bowel obstruction (EPISBO) so as to enhance its diagnostic level.

Methods: The CT findings of 35 EPISBO cases proved by surgery were retrospectively analyzed from August 2003 to October 2008.

Results: The main CT findings were as follows: (1) Incomplete small bowel obstruction; (2) Thickening and edema of focal or global bowel wall; (3) Local or diffuse effusion mainly around operative incision; (4) Without definite obstruction point or bent adhesive point; (5) Locally ring-shaped or delayed enhancement during an enhancement scan.

Conclusion: Spiral CT has an important value in the diagnosis of EPISBO.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Female
  • Humans
  • Inflammation / diagnostic imaging*
  • Intestinal Obstruction / diagnostic imaging*
  • Intestinal Obstruction / etiology
  • Intestine, Small / diagnostic imaging
  • Male
  • Middle Aged
  • Postoperative Complications / diagnostic imaging*
  • Retrospective Studies
  • Tomography, Spiral Computed*
  • Young Adult