Role of Multidetector Computed Tomography in Evaluation of Intestinal Obstruction with Surgical Correlation- A Prospective Cohort Study

Introduction: Intestinal obstruction is a common surgical emergency that encountered in general surgery units and it contributes to substantial patient morbidity healthcare costs. Computed Tomography (CT) has emerged as an invaluable diagnostic tool the evaluation of bowel helps deciding early surgery. The CT gives information on cause for obstruction, its location, complications like closed loop ischaemia. Aim: 1. To evaluate accuracy diagnosing presence, level intestinal obstruction. 2. detect presence demonstrate threatening signs non-viability. 3. relate findings with intraoperative findings. Materials Methods: A prospective cohort study was done at Department Radiology, Mysore Medical College Research Institute, Mysore, India from April 2021 September 2021. total 40 patients, ≥18 years age clinical suspicion were subjected Contrast- Enhanced (CECT) abdomen. sensitivity , specificity, positive negative predictive values Muti-detector (MDCT) calculated. Data analysis carried out using Statistical Package Social Science (SPSS) version 18.5 software. Results: Total patients analysed (25 males 15 females ; mean age: 50.5 years). Small constituted 75% cases large 25% cases. Ileum most site Adhesions leading seen. Closed ischaemia gangrene observed five (12.5%). Comparison per-operative showed high sensitivity, 97.44%, 100%, 97.50%; 92.31%, 92.50% 94.12%, 95%, respectively determining level, Conclusion: MDCT highest 97.50% identifying 100% sensitive picking up ischemia. Thus, concordance intra operative diagnosis can guide surgeons management these patients.