Large Bowel Obstruction in the Emergency Department: Imaging Spectrum of Common and Uncommon Causes

Subramaniyan Ramanathan; Vijayanadh Ojili; Ravi Vassa; Arpit Nagar

doi:10.4103/jcis.JCIS_6_17

Large Bowel Obstruction in the Emergency Department: Imaging Spectrum of Common and Uncommon Causes

Subramaniyan Ramanathan, Vijayanadh Ojili, Ravi Vassa, Arpit Nagar

Department of Radiology

Research output: Contribution to journal › Review article › peer-review

27 Scopus citations

Abstract

Although large bowel obstruction (LBO) is less common than small bowel obstruction, it is associated with high morbidity and mortality due to delayed diagnosis and/or treatment. Plain radiographs are sufficient to diagnose LBO in a majority of patients. However, further evaluation with multidetector computed tomography (MDCT) has become the standard of care to identify the site, severity, and etiology of obstruction. In this comprehensive review, we illustrate the various causes of LBO emphasizing the role of MDCT in the initial diagnosis and detection of complications along with the tips to differentiate from disease which can mimic LBO.

Original language	English (US)
Article number	203884
Journal	Journal of Clinical Imaging Science
Volume	7
Issue number	1
DOIs	https://doi.org/10.4103/jcis.JCIS_6_17
State	Published - Jan 1 2017

Keywords

Diverticulitis
large bowel obstruction
multidetector computed tomography
neoplastic
pseudo-obstruction
volvulus

ASJC Scopus subject areas

Radiology Nuclear Medicine and imaging

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abstract = "Although large bowel obstruction (LBO) is less common than small bowel obstruction, it is associated with high morbidity and mortality due to delayed diagnosis and/or treatment. Plain radiographs are sufficient to diagnose LBO in a majority of patients. However, further evaluation with multidetector computed tomography (MDCT) has become the standard of care to identify the site, severity, and etiology of obstruction. In this comprehensive review, we illustrate the various causes of LBO emphasizing the role of MDCT in the initial diagnosis and detection of complications along with the tips to differentiate from disease which can mimic LBO.",

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AB - Although large bowel obstruction (LBO) is less common than small bowel obstruction, it is associated with high morbidity and mortality due to delayed diagnosis and/or treatment. Plain radiographs are sufficient to diagnose LBO in a majority of patients. However, further evaluation with multidetector computed tomography (MDCT) has become the standard of care to identify the site, severity, and etiology of obstruction. In this comprehensive review, we illustrate the various causes of LBO emphasizing the role of MDCT in the initial diagnosis and detection of complications along with the tips to differentiate from disease which can mimic LBO.

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Large Bowel Obstruction in the Emergency Department: Imaging Spectrum of Common and Uncommon Causes

Abstract

Keywords

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