دورية أكاديمية

Evolution of imaging for abdominal perforation.

التفاصيل البيبلوغرافية
العنوان: Evolution of imaging for abdominal perforation.
المؤلفون: Singh JP; Department of Radiology, The Whittington Hospital, Royal Free and University College Medical School, London, UK., Steward MJ, Booth TC, Mukhtar H, Murray D
المصدر: Annals of the Royal College of Surgeons of England [Ann R Coll Surg Engl] 2010 Apr; Vol. 92 (3), pp. 182-8.
نوع المنشور: Journal Article; Review
اللغة: English
بيانات الدورية: Publisher: Royal College of Surgeons of England Country of Publication: England NLM ID: 7506860 Publication Model: Print Cited Medium: Internet ISSN: 1478-7083 (Electronic) Linking ISSN: 00358843 NLM ISO Abbreviation: Ann R Coll Surg Engl Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : Royal College of Surgeons of England
مواضيع طبية MeSH: Intestinal Perforation/*diagnostic imaging, Colonic Diseases/diagnostic imaging ; Duodenal Diseases/diagnostic imaging ; Esophagogastric Junction/diagnostic imaging ; Humans ; Intestine, Small/diagnostic imaging ; Stomach Diseases/diagnostic imaging ; Tomography, X-Ray Computed/methods
مستخلص: Introduction: Gastrointestinal (GI) perforation is a common surgical presentation. In recent years, computed tomography (CT) has been shown to be accurate for predicting the site of GI perforation, and has become the investigation of choice. However the signs may be subtle or only indirectly related to the site or aetiology of perforation.
Subjects and Methods: A MEDLINE and PubMed search was performed for journals before June 2009 with MeSH major terms 'CT' and 'perforation'. Non-English speaking literature was excluded.
Results: Examples of GI perforation of various aetiologies are reviewed (inflammatory, neoplastic, traumatic and iatrogenic) high-lighting characteristic CT appearances as well as pitfalls in diagnosis. Features of perforation include the presence of free gas or fluid within the supra- and/or inframesocolic compartments, segmental bowel wall thickening, bowel wall discontinuity, stranding of the mesenteric fat and abscess formation.
Conclusions: These differentiating features facilitate accurate multidisciplinary pre-operative evaluation, necessary to plan patient management and potential surgical approach.
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تواريخ الأحداث: Date Created: 20100424 Date Completed: 20100517 Latest Revision: 20220419
رمز التحديث: 20221213
مُعرف محوري في PubMed: PMC3080072
DOI: 10.1308/003588410X12664192075251
PMID: 20412668
قاعدة البيانات: MEDLINE
الوصف
تدمد:1478-7083
DOI:10.1308/003588410X12664192075251