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Bowel Obstruction

  • Patrice Taourel
  • Denis Hoa
  • Jean-Michel Bruel
Part of the Medical Radiology book series (MEDRAD)

Abstract

Bowel obstruction is a common clinical problem, and clinical signs and symptoms do not provide sufficient information for diagnosis or to guide management. CT is becoming a mainstay in diagnosing bowel obstruction and differentiating it from ileus, in locating the site of the obstruction, in identifying the transition point, in determining the cause of the obstruction, which may be intraluminal, intrinsic, or extrinsic, and finally in looking for a complication such as closed loop obstruction or ischemia. Multidetector row CT scanners permit high-quality reformatted series and particularly coronal reformatting useful in the identification of the transition point and in the analysis of the cause and of the mechanism of the obstruction. Because the management of obstruction has dramatically changed with a decrease in the proportion of patients who need surgery, of the time of surgery, which may be delayed, and of the type of surgery, with sometimes a coelioscopic procedure, a precise CT evaluation is now both the gold standard and the common approach in patients with suspected bowel obstruction.

Keywords

Bowel Wall Small Bowel Obstruction Internal Hernia Ischemic Colitis Colonic Obstruction 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2010

Authors and Affiliations

  1. 1.Département d’Imagerie MédicaleHôpital Lapeyronie Montpellier Cedex 5 France

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