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The frequency of Abdomino-Pelvic Oncologic emergencies at Contrast-enhanced Computed Tomography among patients reporting to Radiology Department.
Mahnoor Hafeez, Amjad Sattar
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Volume 13 - Issue 2     Apr - Jun 2021
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Objective: To analyze the frequency types and management of Abdominopelvic oncological emergencies on contrast-enhanced computed tomography (CECT) scans in cancer patients visiting Radiology Department.

Study Design: Retrospective, Descriptive cross-sectional study.

Place and Duration: Dow Institute of Radiology (DUHS), from 1st Jan 2020 to 31st July 2020.

Methodology: All contrast-enhanced CT abdominal scans of cancer patients with single/ Tri-phasic protocols available at database, comprised the study population. All patients were already diagnosed with Histopathology and serum markers. The electronic medical record (EMR) of 577 patients was retrieved and various types of oncological emergencies (OE) were recorded.  All relevant features including age, gender were recorded. Further management of OE’s was recorded. Data was analyzed on SPSS version 20.

Results: Out of 577 cases, 190 (33%) cases showed evidence of acute OE. In these 190 cases, biliary obstruction (BO) was seen in 43.1%;, Urinary tract obstruction (UTO) in 27.8%, Intestinal obstruction (IO) in 18.9%, intestinal perforation (PERF) in 4.7%, Intestinal infarct (IS) in 3.1%, Acute hemoperitoneum (HEM) in 2.1% cases. A linear correlation was seen between frequency of OE and increasing age of patients [r=0.87]. Chi-square test shows statistically significant association of UTO with ovarian cancers [p-value<0.001]. Regarding Hepato-biliary and pancreatic (HBP) malignancies, pancreatic head tumors were the most common tumor in the study presented with emergency. Statistically significant association was observed between the frequency of biliary obstruction and Tri phasic examination [p-value<0.001].

Conclusion: One-third of the abdominopelvic malignancies manifest as acute emergency at CT. Among them, biliary obstruction and urinary tract obstruction were most common oncologic emergencies secondary to pancreatic, ovarian and colonic tumors.

Keywords: Oncology, Abdomino-pelvic, Emergency, frequency, Imaging, Computed tomography.

How to Cite This:

Hafeez M, Sattar A. The frequency of Abdomino-Pelvic Oncologic emergencies at Contrast-enhanced Computed Tomography among patients reporting to Radiology Department. Isra Med J. 2021; 13(2): 115-118.

This is an Open Access article distributed under the terms of the Creative Commons Attribution-Noncommercial 4.0 International License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.