Keywords:
Obstruction / Occlusion, Acute, Surgery, Audit and standards, CT, Small bowel, Gastrointestinal tract, Abdomen
Authors:
C. H. H. Little1, C. M. Cameron2, M. A. Hunter2; 1Glasgow, Glasgow/UK, 2Glasgow/UK
DOI:
10.26044/ecr2019/C-2283
Methods and materials
A search of our picture archiving and communication system (PACS) records of CT reports on adults (18 or older) within Greater Glasgow and Clyde health board revealed 202 patients with intussusception included in the report over a 4 year period from January 2014 to December 2017.
These were retrospectively identified using a combination of key word search of CT reports and image review.
On subsequent image analysis,
177 of these cases had imaging appearances consistent with intussusception.
The multiplanar images were reviewed and imaging characteristics were documented including the location and length of the intussusception and complications identified such as ischaemia or obstruction.
Medical records were analysed to determine symptoms at the time of imaging,
follow up or further investigation,
surgical intervention and clinical outcome.
Operative and pathological findings from electronic clinical records were used as a reference standard for those undergoing surgery and follow up imaging findings including interval CT abdomen and pelvis,
CT enterography or small bowel MRI as well as clinical review records and endoscopy findings for those who were managed expectantly.