S SRINIVASAN1, SN SHIKHARE1
Khoo Teck Puat Hospital1
The clinical diagnosis of acute abdomen can be challenging in some situation as clinical presentation, examination findings and laboratory findings could be nonspecific or nondiagnostic. Imaging not only helps in prompt and accurate diagnosis but also helps in deciding mode of treatment (such as medical, surgical and image-guided interventions).
Review of cases where imaging and interventional radiology (IR) helped in patients who presented with acute abdomen.
Case examples of acute abdominal conditions (quadrant/region-wise) which were diagnosed by imaging followed by IR guided treatment are presented.
Among the imaging modalities, computed tomography (CT) is the most useful modality in the imaging of acute abdomen. The advantages and disadvantages of imaging modalities are discussed. The role of IR can be treatment of choice in certain situations, bridge to surgery or more definitive management or alternative to surgery.
Radiological imaging not only helps in diagnosis but also helps in management of multiple acute abdominal conditions.