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Tytuł pozycji:

Value of CT sinography and analysis of missed diagnosis and misdiagnosis for abdominal wall sinus.

Tytuł:
Value of CT sinography and analysis of missed diagnosis and misdiagnosis for abdominal wall sinus.
Autorzy:
Du X; Department of Radiology, Beijing Chaoyang Hospital, Capital Medical University, 8 Gongren Tiyuchang Nanlu, Chaoyang District, Beijing, 100043, China.
Yan Y; Department of Radiology, Beijing Chaoyang Hospital, Capital Medical University, 8 Gongren Tiyuchang Nanlu, Chaoyang District, Beijing, 100043, China.
Sun P; Department of Radiology, Beijing Shijitan Hospital, Capital Medical University, Beijing, 100038, China.
Yang S; Department of Hernia and Abdominal Wall Surgery, Beijing Chaoyang Hospital, Capital Medical University, Beijing, 100043, China.
Pan Z; Department of Radiology, Beijing Chaoyang Hospital, Capital Medical University, 8 Gongren Tiyuchang Nanlu, Chaoyang District, Beijing, 100043, China.
Liu S; Department of Hernia and Abdominal Wall Surgery, Beijing Chaoyang Hospital, Capital Medical University, Beijing, 100043, China.
Jiang T; Department of Radiology, Beijing Chaoyang Hospital, Capital Medical University, 8 Gongren Tiyuchang Nanlu, Chaoyang District, Beijing, 100043, China. .
Źródło:
BMC gastroenterology [BMC Gastroenterol] 2022 May 03; Vol. 22 (1), pp. 214. Date of Electronic Publication: 2022 May 03.
Typ publikacji:
Journal Article
Język:
English
Imprint Name(s):
Original Publication: London : BioMed Central, [2001-
MeSH Terms:
Abdominal Wall*/diagnostic imaging
Cutaneous Fistula*
Intestinal Fistula*
Humans ; Missed Diagnosis ; Retrospective Studies ; Tomography, X-Ray Computed/methods
References:
Diagn Interv Radiol. 2015 Nov-Dec;21(6):435-40. (PMID: 26359872)
AJR Am J Roentgenol. 1996 Jul;167(1):3-15. (PMID: 8659415)
JAMA. 2016 Oct 18;316(15):1575-1582. (PMID: 27750295)
Am Surg. 2018 Mar 1;84(3):326-333. (PMID: 29559044)
Korean J Radiol. 2014 Nov-Dec;15(6):712-23. (PMID: 25469082)
Biometrics. 1977 Mar;33(1):159-74. (PMID: 843571)
Clin Colon Rectal Surg. 2010 Sep;23(3):149-60. (PMID: 21886464)
Curr Probl Diagn Radiol. 2018 Jan - Feb;47(1):6-9. (PMID: 28162864)
Hernia. 2004 Aug;8(3):271-2. (PMID: 14986173)
Insights Imaging. 2017 Dec;8(6):537-548. (PMID: 28963700)
Comput Radiol. 1982 Jan-Feb;6(1):17-25. (PMID: 6210484)
Cir Esp. 2009 Mar;85(3):158-64. (PMID: 19309604)
Ann Anat. 1997 Jun;179(3):215-20. (PMID: 9229075)
Adv Skin Wound Care. 2018 Nov;31(11):1-4. (PMID: 30767929)
Int J Surg Case Rep. 2017;41:97-98. (PMID: 29055879)
AJR Am J Roentgenol. 1984 Oct;143(4):811-5. (PMID: 6332489)
Radiol Med. 1996 Mar;91(3):247-52. (PMID: 8628938)
Ear Nose Throat J. 2022 May;101(4):NP146-NP148. (PMID: 32921177)
AJNR Am J Neuroradiol. 2000 May;21(5):817-22. (PMID: 10815654)
Hernia. 2009 Dec;13(6):631-7. (PMID: 19657591)
BMJ Case Rep. 2014 Apr 15;2014:. (PMID: 24810453)
Surg Infect (Larchmt). 2008 Feb;9(1):23-32. (PMID: 18363465)
Pol J Radiol. 2017 Sep 15;82:516-523. (PMID: 29662582)
Contributed Indexing:
Keywords: Computed tomography; Fistula; Hernia and abdominal wall surgery; Misdiagnosis; Sinography
Entry Date(s):
Date Created: 20220503 Date Completed: 20220505 Latest Revision: 20220716
Update Code:
20240104
PubMed Central ID:
PMC9063235
DOI:
10.1186/s12876-022-02291-0
PMID:
35505325
Czasopismo naukowe
Background: The value of CT (computed tomography) sinography in evaluating abdominal wall sinus tracts is currently unclear. The present study aims to investigate the accuracy of CT sinography in diagnosing the extent of abdominal sinus and analyze the reasons for misdiagnosis.
Materials and Methods: 64 patients with abdominal sinus tract formation (including fistula) undergoing CT sinography in our hospital from January 2018 to November 2020 were retrospectively analyzed. The CT images were blindly and independently re-assessed by two radiologists with 5- and 18-years work experience, respectively. Whether the sinus tract was confined to the abdominal wall or had invaded the abdominal cavity, and whether there was fistula formation were evaluated. The accuracy of CT sinography in diagnosing sinus invasion in the abdominal cavity and fistula formation was calculated. The agreements of CT sinography-surgical results and inter-observer were assessed using weighted-kappa statistics.
Results: The weighted- Kappa of inter-observer agreement (0.825, P < 0.001) and CT sinography-surgical results (0.828, P < 0.001) were both perfect. The diagnostic accuracy, sensibility, and specificity of sinus tract confined to the abdominal wall were 90.6% (95% CI: 80.7-96.5), 85.7% (95% CI: 67.3-96.0), and 94.4% (95% CI: 81.3-99.3), respectively. The diagnostic accuracy, sensibility, and specificity of fistula formation were 93.8% (95% CI: 84.8-98.3), 89.5% (95% CI: 66.9-98.7), and 95.6% (95% CI: 84.9-99.5), respectively. A total of 4 cases of sinus tract confined to the abdominal wall were misdiagnosed as invading the abdominal cavity, 2 cases of sinus tract invading the abdominal cavity were misdiagnosed as confined to the abdominal wall, 2 cases of enterocutaneous fistula were missed, 1 case of enterocutaneous fistula was misdiagnosed, 1 case of vesico-cutaneous fistula was misdiagnosed, and no cases of vesico-cutaneous fistula were missed.
Conclusions: CT sinography can accurately assess the extent of an abdominal sinus tract and reveal fistula formation, despite some inevitable misdiagnosis and missed diagnosis. Radiologists should find more clues to improve the diagnostic accuracy.
(© 2022. The Author(s).)
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