Volume : VI, Issue : X, October - 2016

Comparison of clinical findings with CT scan in cases of chronic abdominal pain.

Dr. Priti Prasad Shah, Dr . Shama Shaikh, Dr Mandar B Dhamangaonkar, Dr Bahul Vakaria, Dr Shilpi Shree, Dr Prithviraaj Patil

Abstract :

 Background : Abdominal pain is a common presentation in the outpatient setting and poses a challenge to diagnose. These difficult patients are frequently seen by many physicians and have to undergo myriad amount of tests without identifying the etiology of pain. Surgical consultation often occurs late after other modalities have failed to provide resolution of the symptoms. The role of CT imaging in the diagnosis and management of chronic abdominal pain is well established, but its utility is limited in a minority of cases. The aim of this study was to evaluate the role clinical findings and C T findings in cases of chronic abdominal pain. Methodology: Patient age group between 18 – 65 years with symptoms of acute severe abdominal pain were referred for CT scan as part of their evaluation were included in the study. CT scans performed within a 24–h period of by the duty consultant radiologist with the support of the clinical information provided by the clinician on the request form) and the discharge diagnosis (as stated on the discharge summary) were compared. Results Ten patients (13.33%) have findings of chronic appendicitis in CT while six patients were diagnosed with GB pathologies and six patients were also diagnosed with abdominal tuberculosis and there were forty (52%) cases which were diagnosed normal. Conclusion : The utility of CT imaging in the diagnosis and management of patients presenting with chronic abdominal pain is confirmed, but is limited in a minority of cases where poor negative inter observer agreement exists. Good communication to the reporting radiologist of the relevant patient history and clinical question becomes important.

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Dr.Priti Prasad Shah, Dr . Shama Shaikh, Dr Mandar B Dhamangaonkar, Dr Bahul Vakaria, Dr Shilpi Shree, Dr Prithviraaj Patil Comparison of clinical findings with CT scan in cases of chronic abdominal pain. Indian Journal of Applied Research,Volume : 6 | Issue : 10 | October 2016

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