Computed tomography value ascites and mesenteric fluid predict intestinal necrosis in strangulated small bowel obstruction

A retrospective study of 75 patients undergoing surgery for strangulated small-bowel obstruction (SBO) identified key CT scan predictors of preoperative intestinal necrosis. Strangulated SBO itself, massive ascites, and mesenteric fluid with CT attenuation values ≥20 HU were significant, independent predictors. These findings are crucial for earlier diagnosis and improved management of SBO to potentially avoid severe complications like bowel resection.