CHARACTERISTICS OF RADIOLOGICAL DIAGNOSTICS OF COMPLICATIONS AFTER ABDOMINAL SURGERY AND ABDOMINAL DELIVERY

Authors:

Abstract:

The purpose of the study was to determine the diagnostic efficiency of ultrasound examinations and computed tomography in detection of complications after surgery for Crohn's disease and nonspecific ulcerative colitis, as well as abdominal delivery. The study included 21 women who gave birth by cesarean section. The study also included 40 patients who had previously undergone surgery for colitis and Crohn's disease. All patients underwent comparative analysis of ultrasound and computed tomography data during the observation period. In none of these cases was ultrasound examination a reliable diagnostic tool for detection of complications after cesarean section. Computed tomography demonstrated very high or complete accuracy in all three cases and proved its high efficiency in diagnostics of complications arising after surgical treatment of colitis and Crohn's disease.

Keywords:

abdominal surgery intestinal obstruction Caesarean section Crohn's disease radiological diagnostics ultrasound computed tomography

References:

1. Botti F, Caprioli F, Pettinari D, Carrara A, Magarotto A, Contessini Avesani E. Surgery and diagnostic imaging in abdominal Crohn's disease. J Ultrasound. 2013Oct 16;18(1):3-17. doi: 10.1007/s40477-013-0037-6.
2. Caraiani C, Yi D, Petresc B, Dietrich C. Indications for abdominal imaging: When and what to choose? J Ultrason. 2020;20(80):e43-e54. doi: 10.15557/JoU.2020.0008.
3. Du Y, Huang M, Wang S, Yang L, Lin Y, Yu W, et al. Diastasis recti abdominis: A comprehensive review. Hernia. 2025 Jul 7;29(1):222. doi: 10.1007/s10029-025-03417-5.
4. Gabbe SG, Niebyl JR, Simpson JL, Landon MB, Galan HL, Jauniaux ER, et al. Obstetrics: normal and problem pregnancies Elsevier e-book on vitalsource. 7th ed. Philadelphia: Elsevier. 2016:425–42. https://doi.org/10.1016/B978-0-323-32108-2.00063-9.
5. Kane NM, Francis IR, Ellis JH. The value of CT in the detection of bladder and posterior urethral injuries. AJR Am J Roentgenol. 1989 Dec;153(6):1243-6. doi: 10.2214/ajr.153.6.1243.
6. Lin CC, Lin HH, Chen HC, Chen NC, Shih IL, Hung JS, et al. Perioperative optimization of Crohn's disease. Ann Gastroenterol Surg. 2022 Oct 13;7(1):10-26. doi: 10.1002/ags3.12621.
7. Negese K, Belachew DZ. Maternal complications and associated factors among mothers who underwent a cesarean section at Gebretsadik Shewa general hospital: an institution based cross-sectional study. Front. Glob. Womens Health. 2023, 4:1091863. doi: 10.3389/fgwh.2023.1091863.
8. Nelms DW, Kann BR. Imaging Modalities for Evaluation of Intestinal Obstruction. Clin Colon Rectal Surg. 2021 Jul;34(4):205-218. doi: 10.1055/s-0041-1729737.
9. Rosiou K, Selinger CP. Acute severe ulcerative colitis: management advice for internal medicine and emergency physicians. Intern Emerg Med. 2021 Sep;16(6):1433-1442. doi: 10.1007/s11739-021-02704-0.
10. Ward MC, Studer B, Nora I, Seepaulsing N, Loewe C. Primary sclerosing cholangitis in Crohn’s disease: an atypical complication. Cureus. 2021; 13:e14964. DOI: 10.7759/cureus.14964.
11. Xia K, Gao R, Wu X, Ruan Y, Wan J, Wu T, et al. Crohn's Disease Complicated by Rare Types of Intestinal Obstruction: Two Case Reports. Front Med (Lausanne). 2022 Apr 28;9:895202. https://doi.org/10.3389/fmed.2022.895202.
12. Yoon S, Park SH, Kim JS. Radiologic images of complications of Crohn's disease. Int J Gastrointest Interv 2023;12:29-36. https://doi.org/10.18528/ijgii220003.

Publication:

«World of Medicine and Biology» Vol. 21 No. 93 (2025) , с. 105-108
УДК 616-089.168.1-06

DOI:

https://doi.org/10.26724/2079-8334-2025-3-93-105-108