Abstract

The majority of the gastrointestinal tract's length is made up of the small and large intestines, which are also the sites of a wide range of disorders. This study is an attempt to evaluate the role of CECT in characterization and detection of small and large bowel pathologies and to assist in deciding further courses of management. Aim: To evaluate the efficacy and accuracy of CECT imaging in diagnosing the small and large bowel lesions. To correlate CECT findings with clinical, intra-operative /Interventional procedure or histo-pathological findings. Material and Methods: A prospective study was conducted in the Department of Radiology, Kalinga Institute of Medical Sciences, Bhubaneswar, Odisha, India for a period of 2 years from September 2020 to September 2022. Fifty-eight patients with suspected bowel pathology were evaluated, after obtaining informed consent. Data was analysed using SPSS 22 version software. Categorical data represented in the form of frequencies and proportions. Collected data were analysed by sensitivity, specificity, positive predictive value, negative predictive value and accuracy. Results: Male predominance was seen in this study, males constituted 53.4% and females 46.6%. The commonest age group affected was 61-70 years. Malignant lesions were much more prevalent than inflammatory lesions followed by benign lesions. The rectum and sigmoid colon were most commonly affected in malignancy whereas ileum in inflammatory lesions. adenocarcinoma was most common type in malignant lesions. Conclusion: Our conclusion points that contrast enhanced CT is an excellent imaging modality in detecting and characterization of small and large bowel lesions. The most common pathology was malignancy in large bowel and inflammatory in small bowel. Thus, proper characterisation and detection of the bowel lesions helps in management of the disease.

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