Secondary peritonitis echocardiography or ultrasound: Difference between revisions

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==Overview==
==Overview==
Ultrasound may be positive in unto 72%. US is recommended as a screening test for acute abdomen and strongly recommended particularly when [[Abdominal aortic aneurysm|AAA]] rupture or acute [[cholecystitis]] is suspected. US is recommended in pregnant women, young women, or children in whom radioactive exposure is not desirable.


==Key Ultrasound Findings in Secondary peritonitis==
* Abdominal ultrasonography may be helpful in the evaluation of pathology in the right upper quadrant (eg, perihepatic abscess, [[cholecystitis]], [[pancreatitis]], [[pancreatic pseudocyst]]), right lower quadrant, and pelvis (eg, [[appendicitis]], [[tubo-ovarian abscess]], Douglas pouch abscess).
* However, the examination is sometimes limited because of patient discomfort, abdominal distention, and bowel gas interference.
* Ultrasonography may detect increased amounts of peritoneal fluid (ascites), but its ability to detect quantities of less than 100 mL is limited.
* A diagnostic accuracy of greater than 85% has been reported in several series.
* Ultrasonographically guided aspiration and placement of drains has evolved into a valuable tool in the diagnosis and treatment of abdominal fluid collections.
* Advantages of ultrasound include low cost, portability, and availability.
* Disadvantages are that the test is operator dependent, and there is reduced visualization in the presence of overlying bowel gas and abdominal dressings.
==Ultrasound Examples of Secondary peritonitis==




==References==
==References==

Revision as of 20:47, 23 February 2017

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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]

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