Secondary peritonitis other imaging findings: Difference between revisions

Jump to navigation Jump to search
No edit summary
(Replaced content with "__NOTOC__ {{Secondary peritonitis}} {{CMG}} {{AE}} {{SCh}} ==Overview== ==References== {{Reflist|2}}")
Line 4: Line 4:


==Overview==
==Overview==
Imaging studies such as X-ray or ultrasound require to diagnose perforated Secondary peritonitis, if the patient has met two of the chemical criteria (ascitic fluid protein >l g/dl, glucose ~50 mg/dl, and [[lactate dehydrogenase]] greater than the upper limit of normal for serum] are fulfilled in the setting of neutrocytic ascites.<ref name="pmid2293571">{{cite journal| author=Akriviadis EA, Runyon BA| title=Utility of an algorithm in differentiating spontaneous from secondary bacterial peritonitis. | journal=Gastroenterology | year= 1990 | volume= 98 | issue= 1 | pages= 127-33 | pmid=2293571 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=2293571  }} </ref>
* For esophageal and gastric perforations, an upper GI series with water-soluble iodinated contrast media is helpful.
* Also, an oral contrast study (water-soluble contrast media) for small intestinal obstruction and a radiographic contrast enema for large intestinal obstruction are useful.
* Antidromic cystography is useful for diagnosing urinary bladder rupture.
* Limitations: serious [[pneumonia]] and [[pulmonary edema]] may develop when hypertonic contrast media is in the bronchus, use of low or iso osmotic contrast media is recommended when the aspiration of contrast media might occur.


==Key Findings in ==
==Key Examples of ==
==References==
==References==
{{Reflist|2}}
{{Reflist|2}}

Revision as of 20:48, 23 February 2017