ABSTRACT IRA 2014

TITLE- COLONIC WALL THICKENING OF VARIOUS ETIOLOGY BY CT IMAGING- CASE SERIES

DR.D.KARTHIKEYAN, POST-GRADUATE, M.D.RADIO-DAIAGNOSIS, AUTHORS: DR.D.KARTHIKEYAN, POST-GRADUATE, M.D.RADIO-DAIAGNOSIS, DR. SARAVANAN.K.C, Prof & H.O.D, DR.S.VINAYAGAM, Prof & Medical Superintendent, DR.BULABAI KARPAGAM, Asso. Prof, INSTITUITION:   DEPT. OF RADIO-DIAGNOSIS, SRM MCH & RI, KATTANKULATHUR, CHENNAI - 603203

INTRODUCTION- Colonic wall thickening is one of the common findings in patients with abdominal complaints and it can be either short or long segment ,inflammatory or neoplastic etiology. Plain x ray, conventional barium enema , USG and CT and MRI enteroclysis are non invasive modalities useful in characterizing the bowel wall thickening.

RESULTS- Of the 11 patients, 3 patients were found to have infective etiology (tuberculosis) 1 inflammatory (ulcerative colitis) ,1 vascular (ischemic colitis) , 4 were found to have neoplastic cause (adenocarcinoma in three and lymphoma in one patient and serosal deposits in 2 patients.

METHODS AND MATERIALS- 11 patients with abdominal complaints who presented to Department of Radio-diagnosis, SRM MCH &RI between MAY 2014 - OCT 2014 were subjected to CT with and without oral and IV contrast. All the 11 patients underwent confirmatory procedure and were followed up.

CONCLUSION- Spectrum of CT findings in various etiologic factors were described and correlated with clinical finding, other imaging modalities. CT plays a pivotal role in diagnosis, management and staging in malignant lesions. CT findings well correlated with the histopathology in our study series .