Comparison of the Computerized Tomography and Intraoperative Findings in Resection Requiring Small and Large Intestinal Ischemia

Bülent Güngör, Serdar Aslan and Mehmet Selim Nural

Department of General Surgery, 19 Mayis University, Medical School, Turkey
Department of Radiology, 19 Mayis University, Medical School, Turkey

^*Correspondance to: B�lent G�ng�r 

 PDF  Full Text DOI: 10.25107/2474-1647.1614

Abstract

Objective: We tried to find the correlation between computerized tomography (CT) and intraoperative findings in patients with small and large intestinal ischemia.Methods: 40 patients operated with the diagnosis of intestinal ischemia in 19 Mayıs University Medical School Hospital between 01 January 2008 and 01 January 2016 were retrospectively evaluated. All the patients having laparotomy were included in the study. The patients who had been clinically observed and with suspicious diagnosis were excluded from the study. CT findings; bowel wall thickness, dilatation, halo or target sign, increased or decreased contrast material in bowel wall, faeces sign, pneumatosis intestinalis, bowel obstruction, congestion, distortion and stranding of mesenteric fat, contributing solid organ ischemia, ascites, superior mesenteric arterial (SMA) thrombus, mesenteric vein thrombus and pneumoporta were reported. All these characteristics were compared with intraoperative findings. Cross tables were formed and Chi-Square Test (SPSS 21.0 version) was used for the statistical analysis.Results: Contrast loss and SMA thrombus were found as indicators of both small and large intestinal iscemia.. Bowel wall thicknesss was not correlated with the degree of ischemia, especially in colon. Faeces sign and pneumatosis intestinalis were more specific for large intestinal ischemia.Conclusion: Abdominal CT findings correlate with the intraoperative findings in intestinal ischemia; in the aspect of contrast loss, SMA obstruction, faeces sign and pneumatosis intestinalis.

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Cite the article

G�ng�r B, Aslan S, Nural MS. Comparison of the Computerized Tomography and Intraoperative Findings in Resection Requiring Small and Large Intestinal Ischemia. Clin Surg. 2017; 2: 1614.