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Abstract CT has an important role in confirming the diagnosis (site and level) and revealing the cause of bowel obstruction. CT has also been particularly useful for identifying patients who need immediate surgical intervention and guiding the clinical outcome of the patient. The aim of the work is to determine role of CT in evaluation of acute intestinal obstruction and its impact on guidance of clinical management. The current study included Forty-five cases diagnosed clinically with acute intestinal obstruction were recruited from Surgical Emergency Unit of Kasr El-Aini Hospital. Full history taking and clinical examination of the patient then plain radiography and CT examination were done the results of CT were correlated with the clinical outcome of the patient. Results showed that using a cut off 2 positive CT findings with P value less than 0.05 (Free fluid, Partial obstruction Complete obstruction, Transition point, closed loop obstruction and intramural air) showed sensitivity 86.7% and specificity 80% in significantly predicting the need for surgical management with p value 0.021 and AUC 71.3%. |