Computed tomography in the diagnostics of the small bowel diseases manifested by wall thickening

Computed tomography in the diagnostics of the small bowel diseases manifested by wall thickening

Koshelev E.G., Kitayev S.V., Belyaev G.Yu., Egorov A.A.

Thickening of the wall of the small bowel (SB) is an easily identifiable symptom of SB pathology, detected by computed tomography (CT).

Purpose. To reveal the possibilities of standard abdominal CT with contrast enhancement (CE) in the diagnosis of SB disease.

Materials and methods. The 95 CTs of the abdominal cavity according to the standard protocol in patients with various diseases of the SB were analyzed. The median age was 55.0 years. The SB wall was considered thickened with an increase of more than 0,4 cm. the Patients were divided into 2 groups: with focal length < 10 cm and segmental length from 10 to 40 cm. Focal thickening of the SB wall was found in 52 cases (55+9.15%) and segmental thickening in 43 cases (45+11.06%).

Results and conclusions. Most of the revealed intestinal wall thickenings reflected the manifestation of the inflammatory process in 58 patients (61+7.88%) and in 37 patients (39+12.35%) – as tumor. In all observations, the considered feature allowed to suspect pathology, and further analysis of images - to formulate a final conclusion. The difference between the thickening of the SB wall in inflammatory and tumor processes with a longer duration in inflammatory processes was found (p<0.05). The probability of diagnosis of tumor process SB significantly increases with a decrease in its length (p<0.01). Thus, the symptom of thickening of the wall of SB is a marker symptom of its diseases.

1 - Central State Medical Academy of Department of Presidential Affairs.

2 - N.I. Pirogov City

Clinical Hospital № 1.

3 - Polyclinic №2, Executive Office of President of the Russian Federation.

4 - Clinical and diagnostic center MEDSI.

Moscow, Russia.

 

Keywords: MSCT, CT diagnosis, the small bowel pathology, Crohn's disease, intestinal lymphoma.

 


Corresponding author:  Koshelev E. G., e-mail: Этот e-mail адрес защищен от спам-ботов, для его просмотра у Вас должен быть включен Javascript

 

For citation: Koshelev E.G., Kitayev S.V., Belyaev G.Yu., Egorov A.A. Computed tomography in the diagnostics of the small bowel diseases manifested by wall thickening. REJR 2020; 10(1):110-123. DOI:10.21569/2222-7415-2020-10-1-110-123.

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Received:       05.08.19 Accepted:     21.01.20