CT Findings in Adult Patients Presenting with Non- Traumatic Acute Abdomen

Abstract

Objective: To determine the frequency of different radiological findings on CT scan in patients presenting with acute abdomen pain for accurate interventions. Study Design: A Descriptive Cross-Sectional study. Place and Duration of Study: The study was conducted in the department of Radiology Northwest General Hospital Peshawar, from 24 November 2018, to 24 April, 2019. Materials and Methods: The study encompassed 197 patients referred from the outpatient department, regardless of gender, aged 15 years or older, and experiencing severe abdominal pain within a 48-hour period. Complete information, including patient age, gender, and symptom duration, was meticulously documented, along with CT findings essential for precise interventions. These details were recorded on a pre-designed proforma. The CT scans were conducted using either a 16-slice Toshiba machine or a 16-slice GE machine. Results: As per frequencies and percentages for CT Findings between ages 15 years to 60 years, 142 (72.08%) patients were recorded with cholecystitis, 37 (18.78%) patients were recorded with diverticulitis and 18 (9.13%) patients were diagnosed with acute appendicitis. Conclusion:In this study we concluded that cholecystitis is the leading cause of acute non-traumatic abdominal pain followed by diverticulitis and acute appendicitis. The preferred method for diagnosing acute abdominal pain is CT, which will have a significant impact on how individuals with acute abdominal pain are treated in a substantial manner & urgent management of patients in our local population.

Keywords

• appendicitis, diverticulitis, cholecystitis, tomography spiral computed, diagnostic imaging.