Multidetector CT findings in gastrointestinal tract perforation that can help prediction of perforation site accurately.
Clin Radiol
; 74(9): 736.e1-736.e7, 2019 Sep.
Article
em En
| MEDLINE
| ID: mdl-31303326
ABSTRACT
AIM:
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. MATERIALS ANDMETHODS:
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.RESULTS:
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.CONCLUSION:
Multidetector findings may help to predict the site of gastrointestinal perforation, which would change the treatment plan.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Tomografia Computadorizada Multidetectores
/
Perfuração Intestinal
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article