Abstract

Dr. Betül Tiryaki Baştuğ*

ABSTRACT

Contrast-enhanced abdominal CT is an imaging method that uses x-rays which has the potential to cause cancer. And also risk of contrast-enhanced CT include: Allergy to contrast agent and Contrast-Induced Nephropathy. So we wonder if there is any benefit of contrast material for image quality for abdominopelvic emergent applications in our radiology unit. The study was designed as a retrospective investigation. In random 100 patient were selected from 1188 abdominal CT scans that taken for nontraumatic emergent reasons. On 32 patient contrast agent was used. In this group in 1 patient cholecystitis, in 1 patient pyelonephritis, in 1 patient appendicitis, in 1 patient strangulated umbilical hernia and in 1 patient ovarian cyst rupture were detected.In 3 patient ileus were detected. There weren’t any pathology on 24 patient. When previous ultrasonographies and radiographies were evaluated then we saw that these pathologies could be diagnosed on non-contrast CT images with the help of previous applications. All these findings have been thougt that only in 1 patient contrast agent usage was effective. Non contrast CT of the abdomen and pelvis is likely a reliable diagnostic modality for the evaluation of acute nontraumatic abdominal pain in the emergency department. Radiologists and other physicians must be aware of the risk factors for reactions to contrast media. So contrast-enhanced CT may still be done if the benefits greatly outweigh the risks and it is important to minimize contrast material usage.