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Abstract This study was conducted on 50 patients presenting with various non-traumatic acute abdominal conditions. The aim of this work is to study the role of multidetector computed tomographic (MDCT) imaging in diagnosis of nontraumatic acute abdomen. All patients were subjected to full history taking and thorough clinical and laboratory investigations, multi-slice CT Toshiba 320 dual processor examination of the abdomen and pelvis were performed for all patients, selecting the protocol and considering the ALARA (‘as low as reasonably achievable’) general principles to reduce the radiation exposure while maintaining diagnostic image quality. This study included 34 males (68%) and 16 females (32%). Their age ranged between five year-old and fifty year-old (Average 28 year-old). Acute abdominal pain was the main complain of all cases, however, Seventeen patients presented with abdominal distention (34%), ten patients presented with fever (20%), eight patients presented with vomiting (16%) and five patients complained of constipation (10%). Based on the MDCT findings, definitive complete diagnosis was reached in all patients including 15 patients diagnosed as acute appendicitis (30%), 6 patients as intestinal obstruction (12%), 10 patients diagnosed as renal stones (20%),7 patients as acute cholecystitis (14%), 3 patients as perforated bowel loop (6%), 5 patients as acute pancreatitis (10%), one patient as tubo-ovarian abscess (2%), one as intussesception (2%) and the last one was diagnosed as Diverticular abscess (2%). The diagnosis reached by MDCT findings was confirmed by surgery and/or histopathology in 35 patients and by laboratory investigations in the 5 cases of acute pancreatitis. The remaining 10 patients had renal calculi. So, we conclude in this study that the MDCT is a very acurate tool in the diagnosis of various non-traumatic acute abdominal conditions. |