CT imaging findings in patients with ovarian cancer and acute abdominal symptoms: Experience at a tertiary cancer center Journal Article
| Authors: | El Homsi, M.; Horvat, N.; Woodlock, D. P.; Araji, A.; Vargas, H. A.; Bates, D. D. B. |
| Article Title: | CT imaging findings in patients with ovarian cancer and acute abdominal symptoms: Experience at a tertiary cancer center |
| Abstract: | Purpose: To evaluate computed tomography (CT) findings in patients with ovarian cancer presenting to a comprehensive cancer center’s urgent care unit with acute abdominal symptoms. Methods: This retrospective study included consecutive patients with ovarian cancer who underwent abdominal CT at a comprehensive cancer center’s urgent care unit between January 1, 2018, and January 14, 2020, due to acute abdominal symptoms. Two abdominal radiologists reviewed the abdominal CT reports, categorizing imaging findings as follows: (a) no new or acute finding, (b) new or increased bowel or gastric obstruction, (c) new or increased ascites, (d) new or increased peritoneal carcinomatosis, (e) new or increased nonperitoneal metastases, (f) new inflammatory or infectious changes, (g) new or increased hydronephrosis, (h) new or increased biliary dilatation, (i) new vascular complications, or (j) new bowel perforation. Results: A total of 200 patients (mean age, 59 years; range, 22–87) underwent a total of 259 abdominal CT scans, of which 217/259 (83.8%) scans were found to have new or increased findings. A total of 115/259 (44.4%) scans had only one finding while 102/259 (39.4%) scans had 2 or more findings. Altogether, 382 new or increased findings were detected: findings were most commonly related to bowel or gastric obstruction (92/382, 24.1%) with small bowel obstruction being the most common finding (80/382, 20.9%); ascites (78/382, 20.4%); peritoneal carcinomatosis (62/382, 16.2%); and nonperitoneal metastases (62/382, 16.2%). Inflammatory or infectious findings accounted for 30/382 (7.9%) findings. Conclusion: Most patients with ovarian cancer presenting with acute abdominal had relevant positive findings on abdominal CT, with small bowel obstruction being the most common finding. © 2022, The Author(s), under exclusive licence to American Society of Emergency Radiology (ASER). |
| Keywords: | adult; controlled study; aged; middle aged; retrospective studies; major clinical study; ascites; hysterectomy; ovarian neoplasms; metastasis; computer assisted tomography; ovary cancer; peritoneal neoplasms; tomography, x-ray computed; diagnostic imaging; retrospective study; abdominal pain; cancer center; radiologist; vein thrombosis; ovary tumor; pancreatitis; colitis; enteritis; intestine perforation; carcinomatous peritonitis; intestine obstruction; intestinal obstruction; lymphadenopathy; peritoneum tumor; computed tomography; small intestine obstruction; appendicitis; hydronephrosis; stomach obstruction; abdominal disease; duodenum obstruction; complication; pyelonephritis; procedures; diverticulitis; emergencies; humans; human; female; article; tertiary care center; x-ray computed tomography; bile duct dilatation; ovary torsion |
| Journal Title: | Emergency Radiology |
| Volume: | 29 |
| Issue: | 6 |
| ISSN: | 1070-3004 |
| Publisher: | Springer |
| Date Published: | 2022-12-01 |
| Start Page: | 947 |
| End Page: | 952 |
| Language: | English |
| DOI: | 10.1007/s10140-022-02075-9 |
| PUBMED: | 35809140 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | Article -- Export Date: 1 December 2022 -- Source: Scopus |
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