E5144. CT Imaging in the Evaluation of Acute Abdominal Pain in the Emergency Department: A Bottom-Up Approach
Authors
Sergey Kochkine;
Stony Brook Medicine
Farshid Faraji;
Stony Brook Medicine
David Payne;
Stony Brook Medicine
Siddhant Dogra;
NYU Langone Health
John McMenamy;
Denver Health
Background
The acute abdomen may be caused by obstruction, vascular occlusion, inflammation, and infection. An acute abdomen demands urgent attention, diagnosis, and treatment.
Educational Goals / Teaching Points
Highlight a bottom-up approach to causes of acute abdomen. Describe advantages of a bottom-up approach within the abdomen. Highlight the classic CT findings of acute abdomen.
Key Anatomic/Physiologic Issues and Imaging Findings/Techniques
Highlight a bottom-up approach of various causes of acute abdomen: testicular torsion, ovarian torsion, cystitis, urinary retention, appendicitis, Crohn's disease, hemorrhagic cyst, ectopic pregnancy, hernia, diverticulitis, ulcerative colitis, pyelonephritis, obstructing ureteral stone, mesenteric adenitis, Meckel's diverticulitis, gallstones, cholangitis, hepatitis, liver abscess, esophagitis, peptic ulcer, perforated ulcer, pancreatitis, splenic abscess, and splenic rupture.
Conclusion
Acute abdominal pain is a common presentation in the emergency department and having familiarity with the findings of acute abdomen in CT is essential for the emergency radiologist.
