Abdominopelvik Ağrı: 137 Olgunun Prospektif Çalışması

Year 2017, Yıl: 2017 Sayı: 1, 29 - 34, 01.03.2017

Oğuzhan Özdemir Yavuz Metin Nurgül Orhan Metin

Abstract

Bu prospektif çalışmada, difüzyon ağırlıklı manyetik rezonans (DAG-MR) görüntülemenin akut abdominopelvik ağrı ile acil servise baş vuran ve konservatif tedavi ile takip kararı verilen olgulardaki rolünün araştırılması lanmaktadır. Materyal ve Metot: Toplam 137 olguda DAG-MR ve bilgisayarlı tomografi (BT) kombinasyonu ile ilk tanı konulduktan sonra, takipte tedavi yanıtı DAG-MR ile değerlendirildi. Bulgular: Çalışma popülasyonu; ortalama yaş 49,8, yaş aralığı 19–84, 72 kadın ve 65 erkek şeklinde idi. Takipte toplamda 283 DAG-MR tetkiki yapıldı. Bunlardan 273 tanesi klinik bulgular ile uyumluyken, 10 tanesi uyumsuzdu. 11 olguda BT ihtiyacı olurken, 16 tanesi opere edildi. Sonuç: DAG-MR görüntüleme invazif olmayan, etkili bir yöntem olup akut abdominopelvik ağrılı olguların takibinde güvenli bir şekilde kullanılabilir.

Keywords

akut abdominopelvik ağrı, bilgisayarlı tomografi, difüzyon ağırlıklı manyetik rezonans görüntüleme, acil servis

Abdominopelvic Pain: A Prospective Study of 137 Patients

Abstract

This prospective study aims to evaluate the role of diffusionweighted magnetic resonance (DW-MR) imaging in patients presenting with acute abdominopelvic pain, who are decided a follow-up with conservative treatment after admission in the emergency department. Material and Method: A total of 137 consecutive patients with various causes of acute abdominopelvic pain were followed-up with DW-MR imaging to monitor the response to medical treatment after a primary diagnosis made by combination of DW-MR imaging and computed tomography (CT). Results: The demography of study population was as follows: mean age, 49.8; range, 19–84 years: 72 females, 65 males. For each follow-up DW-MR imaging review, the decision was made by three radiologists in consensus. All data regarding follow-up DW-MR imaging, clinical symptoms and laboratory results were documented. A total of 283 DW-MR scans were performed; 273 DW-MR scans were compatible with the clinical status, while 10 were disconcordant with the clinical status. 11 patients needed a CT scan and 16 patients underwent surgery. Conclusion: DW-MR imaging is a non-invasive and efficient technique that may be used with confidence to monitor patients with non-operated acute abdominopelvic pain during follow-up.

Keywords

acute abdominopelvic pain, computed tomography, diffusionweighted magnetic resonance imaging, emergency department