MULTIDETECTOR COMPUTED TOMOGRAPHY IN ASSESSING ILEOCECAL VALVE CONTINENCE UPON SEVERITY OF LARGE BOWEL OBSTRUCTION DUE TO COLONIC CANCER

Document Type : Preliminary preprint short reports of original research

Authors

1 Department Radiodiagnosis and Intervention, Faculty of Medicine- University of Alexandria

2 Department of Surgery , faculty of medicine , university of Alexandria

Abstract

INTRODUCTION:
Colorectal carcinomas are the most common cause of large bowel obstruction. Approximately 8% to 30% of colorectal cancer patients have an obstruction.
Perforation is the ultimate risk of obstructive colonic cancer, maybe local or diastatic secondary to the colonic distension.
Evaluation of ileocecal valve condition is of clinical significance as incontinent ileocecal valve allows decompression of intestinal contents to the small bowel while maintenance of the continence mechanism produces a condition close to closed loop obstruction; with increased risk of large bowel perforation.
Computed tomography (CT) is the reference exam for obstructive colonic cancer, providing both positive and severity diagnoses and has a strong impact on management.
AIM OF THE WORK:
The aim of current study was to evaluate the role of MDCT in assessing the impact of ileocecal valve continence upon the severity of large bowel obstruction due to colonic cancer.
PATIENTS AND METHODS:
PATIENTS
The study included fifty three adult patients who presented to the emergency department of Alexandria Main University Hospital with symptoms and signs of large bowel obstruction andMDCT imaging revealed large bowel obstruction due to colon cancer.

Keywords

ALEXMED ePosters
Volume 4, Issue 4
December 2022
Pages 16-17

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