Non-traumatic adult acute abdomen with high-attenuation lesions or materials in the gastrointestinal tract on unenhanced computed tomography.
10.4103/SINGAPOREMEDJ.SMJ-2021-101
- Author:
Shintaro ICHIKAWA
1
;
Hiroshi ONISHI
1
Author Information
1. Department of Radiology, University of Yamanashi, Yamanashi, Japan.
- Publication Type:Journal Article
- Keywords:
Bezoars;
diverticular bleeding;
faecal impaction;
foreign bodies;
gastric ulcer
- MeSH:
Adult;
Humans;
Abdomen, Acute/diagnostic imaging*;
Contrast Media;
Tomography, X-Ray Computed/methods*;
Gastrointestinal Tract/diagnostic imaging*;
Retrospective Studies
- From:Singapore medical journal
2022;63(8):462-468
- CountrySingapore
- Language:English
-
Abstract:
Computed tomography (CT) is an imaging modality that provides otherwise unobtainable information in the diagnostic workup for acute abdomen. The patient's clinical history, physical examination, and laboratory findings are essential for a correct diagnosis; however, some diagnoses are difficult to establish. Although contrast-enhanced CT is the preferred diagnostic tool and provides invaluable information, using only post-contrast images can lead to misdiagnoses. Unenhanced CT images are more useful than post-contrast images for detecting high-attenuation lesions or materials because surrounding tissues also show high attenuation on post-contrast images. Unenhanced CT often provides key imaging findings for a correct diagnosis; hence, the purpose of this article is to describe CT findings in acute abdomen with high-attenuation lesions in the gastrointestinal tract.