Multidetector CT findings in gastrointestinal tract perforation that can help prediction of perforation site accurately.
Journal
Clinical radiology
ISSN: 1365-229X
Titre abrégé: Clin Radiol
Pays: England
ID NLM: 1306016
Informations de publication
Date de publication:
Sep 2019
Sep 2019
Historique:
received:
18
01
2019
accepted:
07
06
2019
pubmed:
16
7
2019
medline:
9
6
2020
entrez:
16
7
2019
Statut:
ppublish
Résumé
To assess the accuracy, sensitivity, and specificity of multidetector computed tomography (MDCT) findings by comparing the locations of free air in the abdomen and imaging findings with the site of gastrointestinal perforation. Ninety-three patients with acute abdominal pain who visited the emergency department between January 2015 and October 2018 were included in the study. There were 59 male and 34 female patients with a mean age of 50.5 years. The site of perforation was based on surgical findings in all cases. Among specific air distributions, periportal free air and subphrenic free air were statistically significant in differentiating upper gastrointestinal tract perforation. Whereas free air in the minor pelvis, right lower quadrant free air, left lower quadrant free air, and air in the mesentery were statistically significant in differentiation of lower gastrointestinal tract perforation. Multidetector findings may help to predict the site of gastrointestinal perforation, which would change the treatment plan.
Identifiants
pubmed: 31303326
pii: S0009-9260(19)30294-6
doi: 10.1016/j.crad.2019.06.005
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
736.e1-736.e7Informations de copyright
Copyright © 2019 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.