Abnormal Large Bowel Wall Thickness; As A Diagnostic Marker of Colorectal Carcinoma | [Annals of Punjab Medical College • 2019]

Author(s):

1. Abid Ali Sehto: Department Bilawal Medical College LUMHS Jamshoro, Pakistan

2. Aijaz Bhurgari: Department Bilawal Medical College LUMHS Jamshoro, Pakistan

3. Kailash Hotchandani: Department of Shaheed Mohtarma Benazir Bhutto ITC Civil Hospital Karachi, Pakistan

4. Vicky Kumar: Department of Shaheed Mohtarma Benazir Bhutto ITC Civil Hospital Karachi, Pakistan

5. Aeman Ashraf: Department Bilawal Medical College LUMHS Jamshoro, Pakistan

6. Aliya Khan: Dow University of Health Sciences Karachi, Pakistan

Abstract:

Objective: To determine the abnormal large bowel thickness as marker of colorectal cancer among clinically suspected patients by using histopathology as gold standard. Study Design: Descriptive study. Settings: Radiology department of Bilawal Medical College Jamshoro Pakistan. Duration: November 2017 to October 2018. Methodology: Patients more than 16 years of the age referred for contrast enhanced CT (CECT) of abdomen due to clinical suspicion of colorectal carcinoma, having bleeding per rectum, altered bowel habit, anemia with hemoglobin 3mm were considered as colorectal carcinoma and conformed after histopathological findings. All the data was recorded in the self-made proforma. Results: Total 150 patients were selected their mean age was 46.78 years and mean of wall thickness was 15.73 mm. Males were found in majority 61.3%. Colorectal carcinoma was significantly associated with elevated bowel wall thickness, p-value 0.008. There was no significant difference in colorectal carcinoma according to gender, p-value 0.815. Conclusion: Large bowel wall thickness >10cm on contrast enhanced CT (CECT) is the best indicator for early diagnosis of colorectal carcinoma.

Page(s): 241-244

DOI: 10.29054/APMC/19.328

Published: Journal: Annals of Punjab Medical College, Volume: 13, Issue: 3, Year: 2019

Keywords:

Bowel wall thickness , CECT , Colorectal carcinoma

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