ROLE OF COMPUTED TOMOGRAPHY IN DIAGNOSIS OF EPIGASTRIC PAIN EMERGENCY

Document Type : Preliminary preprint short reports of original research

Authors

1 Department of Radio-Diagnosis , Faculty of Medicine , Alexandria University , Egypt.

2 Department of Surgery, faculty of medicine, Alexandria university

3 Department of Radiodiagnosis and Intervention, Faculty of Medicine, Alexandria University, Egypt

4 Department of Radiodiagnosis and Intervention, Faculty of Medicine, Alexandria University

Abstract

One of the most frequent causesof emergency department (ED) visits and subsequent hospital admissions worldwide is acute epigastric pain, it has a wide differential diagnosisand it can refer to a wide range of illnesses ranging from benign and self-limited illnesses that can be handled medically without need of surgical intervention to surgical life threatening conditions. Imaging plays a significant role in management of these patients as clinical evaluation results can be inaccurate. Performing computed tomography (CT) is the most important since it allows for a more accurate and reproducible diagnosis in emergency situations.

AIM OF THE WORK:
The aim of the study was to assess the role of CT imaging in evaluation and early correct diagnosis of patient attending with acute epigastric pain in emergency department of Alexandria main university hospital.

PATIENTS AND METHODS:
The study was carried on 40 patients who attended to emergency department in Alexandria main university hospital presenting with non-traumatic acute epigastric pain. Imaging was performed after clinical examination and lab investigations. Ultrasound was done then patients proceeded to computed tomographic imaging for a more accurate diagnosis. The radiological findings were correlated with surgical feedback data, clinical response to medical treatment and histopathological results.

Keywords