Mehmet Fatih İNCİ, Mehmet OKUMUŞ, Mürvet YÜKSEL, Eyüp Mehmet PİRCANOĞLU, Selim BOZKURT, Mehmet Sait MENZİLCİOĞLU, Fuat ÖZKAN

Akut Karın Ağrısı Nedeniyle Acil Servise Başvuran Hastaların Bilgisayarlı Tomografi Bulgularının Değerlendirilmesi

Amaç: Bu çalışmanın amacı akut karın ağrısı ile acil servise başvuran hastaların tanıaşamasında kullanılan abdominal bilgisayarlı tomografi (BT) bulgularını değerlendirmektir.Yöntem: Son bir yıl içerisinde hastanemiz acil servisine akut karın ağrısı ile başvurup tanıaşamasında abdominal bilgisayarlı tomografi çekilen 270 hastanın klinik bilgileri ve BTgörüntüleri geriye dönük olarak incelendi. Penetran ve künt yaralanmalı hastalar çalışma dışıbırakıldı.Bulgular: Çalışmaya akut karın ağrısı olan 270 hasta (129 erkek ve 141 kadın, 18-93 yaşaralığı) dahil edildi. Hastaların 81’inde (%30) ağrıyı açıklayacak bir patoloji saptanmadı.BT’de en sık görülen patoloji 54 hastada (%20) ürolitiyazis idi. En sık görülen gastrointestinalpatoloji intestinal obtrüksiyondu (%10).Sonuç: BT akut abdominal ağrı ile başvuran hastaların değerlendirilmesinde hızlı ve etkili birgörüntüleme yöntemidir. Hastaların üçte birinin gözlem altında ağrıları kendiliğinden geçennonspesifik karın ağrılı hastalar olması nedeniyle tanı algoritmasına uyulması ve gereklihallerde uygun teknik, protokollerin uygulanmasıyla ve doz optimizasyonu sağlanarak BTincelemenin yapılması gerekir

Anahtar Kelimeler:

Akut karın ağrısı, bilgisayarlı tomografi, acil

Computed Tomography Findings in Patients Admitted to the Emergency Service with Acute Abdominal Pain

Purpose: The purpose of our study was to evaluate the results of CT findings in patientsadmitted to the emergency service with acute abdominal pain.Methods: In last one year, 270 patients who admitted to our hospital’s emergency servicewith acute abdominal pain were included. Clinical datas and CT images were interpretedretrospectively. Patients had penetrating or blunt abdominal injury were excluded.Results: 270 patients with acute abdomen (129 men and 141 women, 18-93 years-old) wereanalyzed retrospectively. In 81 patients (30%) no abnormal finding was found. The mostcommon pathologic finding was urolithiasis in 54 patients (20%).Conclusion: CT is a fast, effective and reliable diagnostic method to clear up the cause ofacute abdominal pain. Because there is no pathological CT finding in one-third of the patients,diagnostic algorithm must be followed and CT examination should be performed withappropriate techniques, protocols and optimization of dose

Keywords:

Acute abdominal pain, computed Tomography, emergency,

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