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REVIEW ARTICLE
Year : 2017  |  Volume : 7  |  Issue : 1  |  Page : 15

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


1 Department of Clinical Imaging, Al Wakra Hospital, Hamad Medical Corporation, Doha, Qatar
2 Department of Radiology, University of Texas Health Science Center at San Antonio, San Antonio, Texas 78229, USA
3 Department of Radiology, Northwestern University Feinberg School of Medicine, Chicago, Illinois 60611, USA
4 Department of Radiology, The Ohio State University Wexner Medical Center, Columbus, Ohio 43210, USA

Correspondence Address:
Vijayanadh Ojili
Department of Radiology, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, MC 7800, San Antonio, Texas 78229
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jcis.JCIS_6_17

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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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