Computed Tomography Findings in Patients Admitted to the Emergency Service with Acute Abdominal Pain

Year 2013, Volume: 15 Issue: 2, 19 - 22, 01.07.2013

Mehmet Fatih İnci Mehmet Okumuş Mürvet Yüksel Eyüp Mehmet Pircanoğlu Selim Bozkurt Mehmet Sait Menzilcioğlu Fuat Özkan

Abstract

Purpose: The purpose of our study was to evaluate the results of CT findings in patientsadmitted to the emergency service with acute abdominal pain.Methods: In last one year, 270 patients who admitted to our hospital’s emergency servicewith acute abdominal pain were included. Clinical datas and CT images were interpretedretrospectively. Patients had penetrating or blunt abdominal injury were excluded.Results: 270 patients with acute abdomen (129 men and 141 women, 18-93 years-old) wereanalyzed retrospectively. In 81 patients (30%) no abnormal finding was found. The mostcommon pathologic finding was urolithiasis in 54 patients (20%).Conclusion: CT is a fast, effective and reliable diagnostic method to clear up the cause ofacute abdominal pain. Because there is no pathological CT finding in one-third of the patients,diagnostic algorithm must be followed and CT examination should be performed withappropriate techniques, protocols and optimization of dose

Keywords

Acute abdominal pain, computed Tomography, emergency

Akut Karın Ağrısı Nedeniyle Acil Servise Başvuran Hastaların Bilgisayarlı Tomografi Bulgularının Değerlendirilmesi

Abstract

Amaç: Bu çalışmanın amacı akut karın ağrısı ile acil servise başvuran hastaların tanıaşamasında kullanılan abdominal bilgisayarlı tomografi (BT) bulgularını değerlendirmektir.Yöntem: Son bir yıl içerisinde hastanemiz acil servisine akut karın ağrısı ile başvurup tanıaşamasında abdominal bilgisayarlı tomografi çekilen 270 hastanın klinik bilgileri ve BTgörüntüleri geriye dönük olarak incelendi. Penetran ve künt yaralanmalı hastalar çalışma dışıbırakıldı.Bulgular: Çalışmaya akut karın ağrısı olan 270 hasta (129 erkek ve 141 kadın, 18-93 yaşaralığı) dahil edildi. Hastaların 81’inde (%30) ağrıyı açıklayacak bir patoloji saptanmadı.BT’de en sık görülen patoloji 54 hastada (%20) ürolitiyazis idi. En sık görülen gastrointestinalpatoloji intestinal obtrüksiyondu (%10).Sonuç: BT akut abdominal ağrı ile başvuran hastaların değerlendirilmesinde hızlı ve etkili birgörüntüleme yöntemidir. Hastaların üçte birinin gözlem altında ağrıları kendiliğinden geçennonspesifik karın ağrılı hastalar olması nedeniyle tanı algoritmasına uyulması ve gereklihallerde uygun teknik, protokollerin uygulanmasıyla ve doz optimizasyonu sağlanarak BTincelemenin yapılması gerekir

Keywords

Akut karın ağrısı, bilgisayarlı tomografi, acil

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