Sonographic detection of pneumoperitoneum in patients with acute abdomen.

Lee, Dong Hoon; Lim, Jae Hoon; Ko, Young Tae; Yoon, Yup

doi:10.2214/ajr.154.1.2104691

Cited by 60 publications

(39 citation statements)

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“…To the best of our knowledge, there are only 6 published reports of sonographic findings of perforated duodenal ulcer, [12][13][14][15][16][17] and only 1 of them contains detailed information about sonographic findings at the perforation site. 17 The authors of that report noted that isolated thickening of the duodenal wall with an echogenic line within it were considered signs of duodenal ulcer and that the extension of the echogenic line beyond the duodenal wall was an indicator of perforation.…”

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confidence: 99%

Sonographic diagnosis and successful nonoperative management of sealed perforated duodenal ulcer

Fujii

Asato

Taniguchi

et al. 2002

J of Clinical Ultrasound

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We encountered a case of sealed perforated duodenal ulcer in a 75-year-old woman with rheumatoid arthritis and chronic renal failure. Abdominal sonography showed a bright linear echo within the thickened anterior wall of the duodenal bulb and the presence of free air at the anterior surface of the liver. We found no signs of direct communication between the duodenal lumen and the peritoneal cavity or any free fluid. On follow-up sonography performed every 2 days during the first week of the patient's hospitalization, no free fluid was found in the abdomen. The use of sonography to diagnose this patient's sealed perforated duodenal ulcer and to monitor the ulcer for the appearance of free fluid allowed us to provide successful nonsurgical management to this patient. We believe that the use of abdominal sonography in all patients suspected of having a perforated duodenal ulcer may help increase the diagnostic accuracy of this modality and may reduce the need for surgery in such patients.

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confidence: 99%

Sonographic diagnosis and successful nonoperative management of sealed perforated duodenal ulcer

Fujii

Asato

Taniguchi

et al. 2002

J of Clinical Ultrasound

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“…La TDM montre le caractère extra-digestif de l'air et permet d'évoquer le siège de la perforation devant le siège des bulles d'air extradigestif ou devant des anomalies pariétales digestives. L'échographie, va servir à mettre en évidence un épanchement liquidien intrapéritonéal, mais elle est peu performante pour détecter un pneumopéritoine (Lee et al, 1990). Seulement 2% des médecins de notre étude la demandent en première intention.…”

Section: Discussionunclassified

Connaissances Et Motivations Des Medecins Dans La Prescription Des Examens D’imagerie Devant Une Urgence Abdominale Non Traumatique Au Togo: A Propos D’une Enquete Realisee Aupres Des Medecins

Amadou¹,

Agbangba²,

Watara³

et al. 2017

ESJ

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Objective: To evaluate physicians' knowledge of prescribing imaging modalities in non-traumatic abdominal emergencies. Materials and method: A transversal and analytical study, consisting of the filling of a questionnaire distributed to general physicians. The survey card included, among others, the first-line imaging modality and the most effective on four abdominal emergencies found in Togo. Results: Regarding acute appendicitis, 73% of physicians estimated the imaging needed. For 92%, ultrasound was the firstline imaging technique because of its availability according to 40%. For 87%, the scan was the most effective exam. In peritonitis, 69% of physicians considered imaging important. For 98% Conventional Chest and Abdominal Radiography was the first-line examination because 52% of physicians said it was the most available. 89% thought the CT scan was the most effective. In the case of bowel obstruction, 89% of physicians found the necessary imaging. For 96%, the first-line examination was the Conventional Chest and Abdominal Radiography because of its availability according to 51% of doctors. All physicians felt that the CT scan was the most effective European Scientific Journal February 2017 edition vol.13, No.6 ISSN: 1857 -7881 (Print) e -ISSN 1857 481 examination. Concerning acute cholecystitis, 95% considered imaging very important. For 95%, ultrasound was the first-line examination. Its prescription was motivated by its availability according to 50% of doctors. 96% felt that CT was the most effective examination. Conclusion: From our study, it appears that in abdominal emergencies, imaging examinations necessary for diagnosis are prescribed according to their availability and cost, not according to their effectiveness.Keywords: Non-traumatic abdominal emergency -First-line imaging -Most effective imaging -Choice of imaging -Rationale for choosing imaging. ResumeObjectifs : Evaluer la connaissance des médecins sur la prescription des examens d'imagerie dans les urgences abdominales non traumatiques. Matériels et méthode : Etude transversale et analytique, ayant consisté au remplissage d'un questionnaire distribué aux médecins généralistes et aux internes. La fiche d'enquête portait entre autres sur les examens d'imagerie de première intention et le plus efficace sur quatre pathologies d'urgence abdominale retrouvées au Togo. Résultats : Concernant l'appendicite aiguë, 73% des médecins estimaient l'imagerie nécessaire. Pour 92%, l'échographie était l'examen de première intention du fait de sa disponibilité selon 40%. Pour 87%, le scanner était l'examen le plus efficace. Dans les péritonites, 69% des médecins considéraient l'imagerie importante. Pour 98% l'ASP était l'examen de première intention, car selon 52% des médecins il est le plus disponible. 89% estimaient que le scanner était l'examen le plus efficace. En cas d'occlusions intestinales, 89% des médecins trouvaient l'imagerie nécessaire. Pour 96%, l'examen de première intention était l'ASP du fait de sa disponibilité selon 51% des médecins ...

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“…Ultrasonography is known to have false positive evidence of reverberating air artefacts due to the presence of overlying rib, air in the costo-phrenic recess (overcome by noting the step pattern) and the intraluminal air (differentiated by the fact that free air can be displaced). 11,16,17,18 More over ultrasonography is operator dependent.…”

Section: Discussionmentioning

confidence: 99%

Prospective study of comparison between the ultrasonography with the plain radiography in the diagnosis of pneumoperitoneum of hollow viscus perforation

et al. 2014

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Sonographic detection of pneumoperitoneum in patients with acute abdomen.

Cited by 60 publications

References 0 publications

Sonographic diagnosis and successful nonoperative management of sealed perforated duodenal ulcer

Sonographic diagnosis and successful nonoperative management of sealed perforated duodenal ulcer

Connaissances Et Motivations Des Medecins Dans La Prescription Des Examens D’imagerie Devant Une Urgence Abdominale Non Traumatique Au Togo: A Propos D’une Enquete Realisee Aupres Des Medecins

Prospective study of comparison between the ultrasonography with the plain radiography in the diagnosis of pneumoperitoneum of hollow viscus perforation

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