Naslov
CT evaluation of patients with acute lower abdominal and pelvic pain in the emergency department

Autori
Hrabak Paar, Maja ; Štern Padovan, Ranka ; Kralik, Marko ; Oberman, Božidar ; Šunjara, Vice

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Izvornik
International Urogenital Radiology Joint Meeting of European Society of Urogenital Radiology (ESUR) and Society of Radiology (SUR), Book of Abstracts / - , 2011

Skup
International Urogenital Radiology Joint Meeting of European Society of Urogenital Radiology (ESUR) and Society of Radiology (SUR)

Mjesto i datum
Dubrovnik, Hrvatska, 13.10.2011. - 16.10.2011

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
pelvic pain; computed tomography

Sažetak
Objective: To describe CT findings in male and female patients with acute lower abdominal and pelvic pain, and to determine influence of CT results on further management and treatment of the patients. Materials and Methods: Abdominal and pelvic CT was performed in 70 adult patients with inconclusive sonography, who presented with acute lower abdominal and pelvic pain in the emergency department. The scanning protocol was tailored according to the patient’s clinical condition and results of laboratory workup, and included oral and/or intravenous administration of contrast material. Results: In both genders pelvic and lower abdominal pain was caused by intestinal (appendicitis, diverticulitis, Crohn’s disease), and urological (ureterolithiasis, pyelonephritis) disorders. In female patients different gynecological pathology was depicted, including pelvic inflammatory disease, ruptured ovarian cyst, ovarian torsion and fibroid degeneration. Results of CT examination determined further conservative, interventional or surgical treatment in most of the patients. Conclusion: Due to its availability and speed, CT is excellent method for radiological evaluation of patients with acute lower abdominal or pelvic pain and inconclusive sonography in the emergency department. However, because of high radiation dose, its use should be avoided in young patients if the diagnosis can be established using other imaging modalities.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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