Can CT Scans Tell the Whole Story About Large Bowel Obstruction?
Published: Jul 06, 2024
CT scans are a key tool in diagnosing large bowel obstruction. Let's dive into how they work and why they're crucial for accurate diagnosis.
Contents
Why CT Scans are the Go-To Tool
CT scans are highly sensitive and specific, making them a reliable option for detecting large bowel obstructions. They help distinguish between small and large bowel obstructions and identify if the cause is malignant or benign. Their accuracy is crucial for determining the right treatment path.
What a CT Scan Reveals
A CT scan can show a transition point where the colon is dilated and the obstruction begins. It can also reveal whether the obstruction is due to a tumor or other causes like volvulus. This detailed view helps doctors plan effective treatments.

Are There Alternatives?
While plain X-rays are less expensive, they are not as accurate as CT scans. Barium enemas are rarely needed due to the high accuracy of CT scans. Choosing the right imaging method is essential for a correct diagnosis.
Frequently Asked Questions
They are highly sensitive and specific for bowel obstruction diagnosis.
It shows the location and cause of obstruction, like tumors or volvulus.
They're less accurate compared to CT scans for diagnosing obstructions.
Yes, they help differentiate between small and large bowel obstructions.
The Bottom Line
CT scans provide a comprehensive view of large bowel obstructions, aiding in timely and accurate diagnosis.
References
- Frager D, Rovno HD, Baer JW, et al. Abdom Imaging 1998; 23:141.
- Verheyden C, Orliac C, Millet I, Taourel P. Eur J Radiol 2020; 130:109155.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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