Abdominal CT findings in small bowel perforation

Zissin, Rivka; Osadchy, Alexandra; Gayer, Gabriela

doi:10.1259/bjr/78772574

Cited by 89 publications

(75 citation statements)

References 17 publications

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“…In these cases, the ingested fish bone may be detected in any part of the upper gastrointestinal tract, and the definitive diagnosis is established on CT by demonstrating a hyperdense linear foreign body, which is best shown on bone window settings. (11).…”

Section: Main Pointsmentioning

confidence: 99%

“…8) (12). The perforations of the stomach and duodenum ( In the small bowel, the most common sites of perforation include the less mobile segments of bowel or those with acute angulations such as ileum (11) (Fig. 10).…”

Section: Main Pointsmentioning

confidence: 99%

“…11). Free pneumoperitoneum is rare as bowel perforation occurs by gradual erosion through the wall, which is spontaneously sealed by fibrin and omentum (3,11). Occasionally, marked inflammatory narrowing of the involved bowel segment may result in bowel obstruction (Fig.…”

Section: Main Pointsmentioning

confidence: 99%

See 2 more Smart Citations

CT findings of accidental fish bone ingestion and its complications

Venkatesh

Karaddi²

2016

Diagn Interv Radiol

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Section: Main Pointsmentioning

confidence: 99%

Section: Main Pointsmentioning

confidence: 99%

See 1 more Smart Citation

CT findings of accidental fish bone ingestion and its complications

Venkatesh

Karaddi²

2016

Diagn Interv Radiol

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“…The perforation occurs in sites of the small intestine where an intramural infi ltration by neoplastic cells has developed and has been followed by tumor necrosis. Perforation of a bowel metastasis can occur also after chemotherapy due to the cellular necrotic effect produced by the drug [ 9 ].…”

Section: Small Intestinal Cancermentioning

confidence: 99%

Imaging of Gastrointestinal Tract Perforation in the Oncologic Patients

Romano

Fulciniti

Silva

et al. 2014

Imaging of Alimentary Tract Perforation

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“…Perforation of terminal ileum is a cause for obscure peritonitis, heralded by exacerbation of abdominal pain associated with tenderness, rigidity and guarding, most pronounced over right iliac fossa. However for many patients in a severe toxic state, there may be obscured clinical features with resultant delays in diagnosis and adequate surgical intervention 6 . Therefore, the present study was undertaken to see the post-operative complications of terminal ileal perforation.…”

Section: Introductionmentioning

confidence: 99%

Post-Operative Complications of Illeal Perforation: Experienced of 100 Patients in Bangladesh

et al. 2016

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Background: Ileal perforation is a serious surgical emergency. Objective: The objective of the present study was to see the post-operative complications of ileal perforation patients. Methodology: This cross sectional study was conducted in the Department of Surgery at Dhaka Medical College Hospital, Dhaka from September 2000 to December 2002 for period of 2 years and 3 months. All the patients presented with ileal perforation at any age with both sexes were included in this study. Patients were selected consecutively and the patients who showed ileal perforation at laparotomy were included in this study. A standard protocol was filled up for every patient. Preoperative diagnosis was based on detailed history, complete physical examinations supported by plain x-ray abdomen in erect posture including both domes of diaphragm. After immediate resuscitation surgical treatment was undertaken as soon as possible following admission in all cases. Surgical procedures included simple repair, wedge resection and repair, resection and anastomosis, right hemi colectomy and temporary ileostomy. Histopathological examination of tissues from the margin of perforation and mesenteric lymph nodes were carried out in almost all cases. Result: Out of 100 patients complications were observed in 53 patients. Thus, incidence of complication was 53%. In 47 patients postoperative period was uneventful. Most of the complications were observed around 3 rd to 5 th post-operative day. Wound infection was the most common complication and noted in 4 th to 7 th postoperative day. Respiratory complications were also common and mostly observed on 2"dpostoperative day. All these patients presented with loose motion and lower abdominal pain on 3 rd postoperative day. Faecal fistula developed on 3 rd to 5 th postoperative day in 3 cases resulting from disruption of simple repair in 2 cases and anastomotic leakage in 1 case who later died complicated by septicemia and multi-organ failure. Conclusion: Wound infection is the most common post-operative complication followed by septicemia and respiratory complication.

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Abdominal CT findings in small bowel perforation

Cited by 89 publications

References 17 publications

CT findings of accidental fish bone ingestion and its complications

CT findings of accidental fish bone ingestion and its complications

Imaging of Gastrointestinal Tract Perforation in the Oncologic Patients

Post-Operative Complications of Illeal Perforation: Experienced of 100 Patients in Bangladesh

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