International Journal on Science and Technology

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Diagnostic Accuracy of Computed Tomography in Evaluating Acute Abdomen in Emergency Surgical Settings: A Retrospective Study from a Tertiary Hospital in Saudi Arabia

Author(s) Mohammed D. Alghamdi, Madhawi S. Aldawsari, Mohammed S. Almuqbil
Country Saudi Arabia
Abstract Background: Routine emergency department arrivals for sudden abdominal pain demand swift confirmation of the underlying pathology. High-resolution computed tomography now ranks as the cornerstone investigation, its rapid output paired with superior sensitivity and specificity.

Objective: This study set out to quantify CTs diagnostic yield for non-traumatic upper and lower gastric complaints in a major Saudi Arabian tertiary hospital.

Methods: Clinical charts were mined for 250 adult cases that received abdominal CT between January and December 2022. Each scan interpretation was later matched against definitive surgical notes, histological reads, or thorough outpatient tracking.

Results: Radiologists reported 100% sensitivity regarding the principal acute pathologies; positive-predictive ratios fluctuated from 86.7% for nephrolithiasis up to 95.0% for strangulated hernia. Appendicitis featured most frequently (34% of encounters) and adhesive bowel blockage accounted for another 18%.

Conclusion: Given the near-perfect detection rate, intravenous-contrast CT now deserves classification as first-line imaging when acute abdominal symptoms override the waiting period for ultrasonography.
Field Medical / Pharmacy
Published In Volume 14, Issue 3, July-September 2023
Published On 2023-08-11
DOI https://doi.org/10.5281/zenodo.15705348
Short DOI https://doi.org/g9qwwr
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