Open AccessLarge Bowel Obstruction in the Emergency Department: Imaging Spectrum of Common and Uncommon Causes
Author(s) -
Subramaniyan Ramanathan,
Vijayanadh Ojili,
Ravi Vassa,
Arpit Nagar
Publication year - 2017
Publication title -
journal of clinical imaging science
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.279
H-Index - 18
eISSN - 2156-7514
pISSN - 2156-5597
DOI - 10.4103/jcis.jcis_6_17
Subject(s) - medicine , etiology , bowel obstruction , emergency department , computed tomography , radiology , multidetector computed tomography , broad spectrum , chemistry , psychiatry , combinatorial chemistry
Although large bowel obstruction (LBO) is less common than small bowel obstruction, it is associated with high morbidity and mortality due to delayed diagnosis and/or treatment. Plain radiographs are sufficient to diagnose LBO in a majority of patients. However, further evaluation with multidetector computed tomography (MDCT) has become the standard of care to identify the site, severity, and etiology of obstruction. In this comprehensive review, we illustrate the various causes of LBO emphasizing the role of MDCT in the initial diagnosis and detection of complications along with the tips to differentiate from disease which can mimic LBO