Gastrointestinal perforation x-ray: Difference between revisions
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=== Chest imaging === | === Chest imaging === | ||
* Findings of chest x-ray in [[esophageal perforation]] include: | * Findings of chest x-ray in [[esophageal perforation]] include:<ref name="pmid17885199">{{cite journal| author=Sinha R| title=Naclerio's V sign. | journal=Radiology | year= 2007 | volume= 245 | issue= 1 | pages= 296-7 | pmid=17885199 | doi=10.1148/radiol.2451042197 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17885199 }}</ref> | ||
* [[Pneumomediastinum]] | * [[Pneumomediastinum]] | ||
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=== Abdominal imaging === | === Abdominal imaging === | ||
* Free gas under the diaphragm is a classic sign of pneumoperitoneum on erect chest. | Findings of abdominal x-ray in [[esophageal perforation]] include: | ||
* Cupola sign is an arcuate lucency over the lower thoracic spine. | * Free gas under the [[diaphragm]] is a classic sign of [[pneumoperitoneum]] on erect [[chest]]. | ||
* [[Rigler's sign|Rigler sign]] is seen as gas outlines the inner and outer surfaces of the intestine. | * Cupola sign is an arcuate lucency over the lower thoracic spine.<ref name="pmid17057080">{{cite journal| author=Marshall GB| title=The cupola sign. | journal=Radiology | year= 2006 | volume= 241 | issue= 2 | pages= 623-4 | pmid=17057080 | doi=10.1148/radiol.2412040700 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17057080 }}</ref> | ||
* [[Psoas sign]] is air in the retroperitoneal space outlining the psoas muscle. | * [[Rigler's sign|Rigler sign]] is seen as gas outlines the inner and outer surfaces of [[Intestine|the intestine]]. | ||
* [[Urachus]] sign is air in the preperitoneal space outlining the urachus or umbilical ligaments. | * [[Psoas sign]] is air in the [[Retroperitoneal|retroperitoneal space]] outlining the [[Psoas|psoas muscle]]. | ||
* [[Urachus]] sign is air in the preperitoneal space outlining the [[urachus]] or umbilical ligaments. | |||
=== Neck imaging === | === Neck imaging === | ||
Signs of perforation on plain neck imaging include: | Signs of perforation on plain neck imaging include:<ref name="pmid19182505">{{cite journal| author=Kim SH, Shin SS, Jeong YY, Heo SH, Kim JW, Kang HK| title=Gastrointestinal tract perforation: MDCT findings according to the perforation sites. | journal=Korean J Radiol | year= 2009 | volume= 10 | issue= 1 | pages= 63-70 | pmid=19182505 | doi=10.3348/kjr.2009.10.1.63 | pmc=2647165 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19182505 }}</ref> | ||
* [[Subcutaneous emphysema]] tracking into [[Neck|the neck]] | * [[Subcutaneous emphysema]] tracking into [[Neck|the neck]] | ||
* Anterior displacement of the [[trachea]] | * Anterior displacement of the [[trachea]] | ||
Revision as of 03:36, 28 January 2018
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mohammed Abdelwahed M.D[2]
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Gastrointestinal perforation Microchapters |
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Differentiating gastrointestinal perforation from other diseases |
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Diagnosis |
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Treatment |
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Case Studies |
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Gastrointestinal perforation x-ray On the Web |
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American Roentgen Ray Society Images of Gastrointestinal perforation x-ray |
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Risk calculators and risk factors for Gastrointestinal perforation x-ray |
Overview
Chest imaging
- Findings of chest x-ray in esophageal perforation include:[1]
- Pneumomediastinum
- Ring-around-the-artery sign in cases of pneumomediastinum: gas around pulmonary artery and main branches
- Widening of the mediastinum
- Free air under the diaphragm on upright films
- Pleural effusion
- Abnormal cardiomediastinal contour
Abdominal imaging
Findings of abdominal x-ray in esophageal perforation include:
- Free gas under the diaphragm is a classic sign of pneumoperitoneum on erect chest.
- Cupola sign is an arcuate lucency over the lower thoracic spine.[2]
- Rigler sign is seen as gas outlines the inner and outer surfaces of the intestine.
- Psoas sign is air in the retroperitoneal space outlining the psoas muscle.
- Urachus sign is air in the preperitoneal space outlining the urachus or umbilical ligaments.
Neck imaging
Signs of perforation on plain neck imaging include:[3]
- Subcutaneous emphysema tracking into the neck
- Anterior displacement of the trachea
- Air in the prevertebral fascial planes on lateral view
References
- ↑ Sinha R (2007). "Naclerio's V sign". Radiology. 245 (1): 296–7. doi:10.1148/radiol.2451042197. PMID 17885199.
- ↑ Marshall GB (2006). "The cupola sign". Radiology. 241 (2): 623–4. doi:10.1148/radiol.2412040700. PMID 17057080.
- ↑ Kim SH, Shin SS, Jeong YY, Heo SH, Kim JW, Kang HK (2009). "Gastrointestinal tract perforation: MDCT findings according to the perforation sites". Korean J Radiol. 10 (1): 63–70. doi:10.3348/kjr.2009.10.1.63. PMC 2647165. PMID 19182505.