Table 4. Sensitivity, specificity, positive predictive value, and negative predictive value of MDCT in detecting different causes of bowel obstruction.
CAUSE OF OBSTRUCTION | SENSITIVITY (%) | SPECIFICITY (%) | POSITIVE PREDICTIVE VALUE | NEGATIVE PREDICTIVE VALUE | KAPPA |
Adhesions | 100 | 100 | 100 | 100 | 1 |
Mesenteric ischemia | 100 | 100 | 100 | 100 | 1 |
Hernia | 100 | 100 | 100 | 100 | 1 |
Volvulus | 100 | 100 | 100 | 100 | 1 |
Abdominal collection | 100 | 100 | 100 | 100 | 1 |
Pregnancy | 100 | 100 | 100 | 100 | 1 |
Diverticulitis | 7.7 | 84.5 | 25.6 | 89.5 | 0.3 |
Appendicitis | 100 | 100 | 100 | 100 | 1 |
Carcinoma | 100 | 100 | 100 | 100 | 1 |
Perforation | 100 | 100 | 100 | 100 | 1 |
Tuberculosis | 18.8 | 53.8 | 75 | 58.3 | 0.51 |
Inflammatory | 54.2 | 46.2 | 41.6 | 95.8 | 0.54 |
Intussusception | 100 | 100 | 100 | 100 | 1 |
Meckel’s diverticulum | 100 | 100 | 100 | 100 | 1 |
Foreign body | 100 | 100 | 100 | 100 | 1 |
Polyp | 100 | 100 | 100 | 100 | 1 |