Secondary peritonitis chest x ray: Difference between revisions

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Revision as of 20:48, 23 February 2017

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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 ==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.
-==Key Chest X-Ray Findings in Secondary peritonitis==
-* 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.
-* The presence of free air is not mandatory with visceral perforation.
-* Plain chest X-Ray should be considered when gastrointestinal perforation or diseases of the chest such as [[pneumonia]], [[pericarditis]], or [[myocardial infarction]] are suspected.
-* 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==

Secondary peritonitis chest x ray: Difference between revisions

Revision as of 20:48, 23 February 2017

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