ROLE OF MULTIDETECTOR COMPUTED TOMOGRAPHY IN EMERGENT BILIARY CONDITIONS.

Document Type : Preliminary preprint short reports of original research

Authors

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

2 Department of surgery, Faculty of Medicine, Alexandria University

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

Abstract

1. Introduction Acute abdominal pain can be caused by a variety of biliary pathologic causes. Due to the overlapping signs and symptoms of many biliary diseases, a precise diagnosis is not always achievable clinically. Imaging can lead to an accurate diagnosis and help decrease the differential diagnosis.
Multidetector computed tomography (CT) is better when acute biliary disease is suspected, even though ultrasonography (US) is the most helpful imaging modality for primary evaluation of the biliary system. Because ultrasound is relatively inexpensive, easily accessible, requires little time for examination, and does not involve radiation, it is the recommended initial imaging modality for the assessment of suspected acute calculous cholecystitis. The unique benefits of US over other imaging modalities include its capacity to elicit "Murphy's sign" and its high sensitivity and specificity in identifying gallstones. US is yet not helpful for evaluating all acute cholecystitis complications.
CT can assess acute cholangitis, biliary stone disease, gallstone pancreatitis, benign and malignant biliary obstruction, pyogenic hepatic abscess, hemobilia, and iatrogenic complications such as biliary leak and mal-positioned biliary drains and stents
2. Aim The aim of the work was to assess the role of multidetector computed tomography (MDCT) in emergent biliary system conditions.

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