Secondary peritonitis chest x ray: Difference between revisions

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==Overview==
==Overview==
An upright and supine plain films of the chest and abdomen should be performed in patients with abdominal pain to exclude free air under the diaphragm (most often on the right), which signals a bowel perforation and associated peritonitis.
Chest and abdominal [[X-rays]] show different abnormalities secondary to [[liver disease]].


==Key Chest X-Ray Findings in Secondary peritonitis==
==Chest X Ray==
* Free air is present in most cases of anterior gastro-duodenal perforation, but is less frequent with perforations of the small bowel and colon and is unusual with appendiceal perforation.
* Evaluation of [[fluid overload]] in lungs due to [[heart failure]].
* The presence of free air is not mandatory with visceral perforation.
* Associated infections
* Plain chest X-Ray should be considered when gastrointestinal perforation or diseases of the chest such as pneumonia, pericarditis, or myocardial infarction are suspected.
* [[X-rays|Plain abdominal X-rays]] may reveal dilated, oedematous intestines, although it is mainly useful to exclude [[pneumoperitoneum]] (free air in the peritoneal cavity) seen in [[secondary peritonitis]], which may also be visible on [[Chest X-ray|chest X-rays]].
* The diagnosability of plain abdominal radiography is limited and has no value as a part of routine examination. Even in cases without abnormal findings, ultrasonography (US) or computed tomography (CT) should be considered depending on clinical manifestations.
* However, in settings without access to US or CT, X-ray in supine and erect positions is considered in patients suspected to have bowel obstruction, ileus, gastrointestinal perforation, calculus urinary, emphysematous lesion, or a foreign body.


==Chest X-Ray Examples of Secondary peritonitis==
[[File:Chest X- ray of intestinal perforation.jpg|500px]]
[[File:X-ray of perforated duodenal ulcer.jpg|500px]]


==References==
==References==
[[Category:Emergency mdicine]]
[[Category:Disease]]
[[Category:Up-To-Date]]
[[Category:Infectious disease]]
[[Category:Gastroenterology]]
[[Category:Surgery]]

Latest revision as of 00:07, 30 July 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Shivani Chaparala M.B.B.S [2]

Overview

Chest and abdominal X-rays show different abnormalities secondary to liver disease.

Chest X Ray


References