Hager Mohsen Saleh Mohamed

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Mohamed R. Habba

Ain Shams University

Ahmed Tohamy Ahmed

Suez Canal University

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Suez Canal University

Ain Shams University

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Multi-Detector Computed Tomography Evaluation of Post Pelvi-Abdominal Surgical Complications

The Egyptian Journal of Hospital Medicine (2023)

Hager Mohsen Saleh Mohamed Mohamed R. Habba Ahmed Tohamy Ahmed

Background: Due to the common problems after pelvic-abdominal procedures, the post-operative abdomen is tough.Hence, every radiologist must be extremely accurate in identifying these problems in order to rapidly identify potentially life-threatening situations and initiate necessary care immediately.Aim: To the early diagnosis and for adequate treatment planning through using the Multi-Detector Computed Tomography (MDCT) in the diagnosis of post-operative pelvi-abdominal surgical complications.Patients and Methods: This was a descriptive cross-sectional study carried out on 50 adult patients who were referred to the surgery clinic of Ismailia Suez Canal University and Ismailia General Hospitals suspected to have post pelvi-abdominal surgical complications.MDCT was done to all patients and the findings were interpreted by two specialty-certified radiologists.Results: Our results showed that the most common pre-surgical diagnosis was malignancy and recurrence in 38 patients (76%).Our study showed that recurrent malignancy was the most frequent findings, and 60% of the patients were managed conservatively.Conclusion: Computed tomography (CT) was used as gold standard tool in the evaluation of all patients included in this study as it is presently the workhorse to assess post-operative problems, with the exception of MRI for probable recurrence of rectal cancer or inflammatory bowel disease.

Abdominal computed tomography

10.21608/ejhm.2023.307717

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