Comparison Between Ultrasonography and Multi-Detector Computed tomography in evaluation of Acute Abdomen | ||||
| Al-Azhar International Medical Journal | ||||
| Volume 2024, Issue 7, July 2024 | ||||
| DOI: 10.58675/2682-339X.2563 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Ahmed Eleraky; Abd Ellah Yassin; Moataz ElSharkawy | ||||
| Radiology, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt | ||||
| Abstract | ||||
| Background: Non-traumatic acute abdomen is a frequently encountered condition in emergency medicine. Both ultrasound and CT scans are essential diagnostic tools for evaluating this condition. However, there are variations in terms of cost, time, sensitivity, and accuracy between these modalities. Aim: Our study aims to compare a Multidetector CT scan with Ultrasonography to detect and evaluate the cause of abdominal pain. Patient and methods: This prospective interventional comparative randomized study involved 55 patients with non-traumatic Acute Abdomen. The initial examination consisted of a standardized clinical history, physical examination, and laboratory examination. An abdominal ultrasound was performed for all cases, and MDCT was performed to complement the ultrasound results. Results: The study revealed that CT is more sensitive in most cases of Acute Abdomen; however, in cases with Acute cholecystitis, Ectopic pregnancy, and ovarian torsion, the Ultrasonography was enough. Conclusions: Ultrasonography has played a significant role in assessing the acute abdomen due to its accessibility, affordable cost, and lack of ionizing radiation or requirement for contrast materials. On the other hand, a CT scan is a quick and reliable imaging technique that is commonly used as the initial diagnostic tool for patients experiencing acute abdominal pain. It offers high accuracy in the diagnostic evaluation of such cases. | ||||
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