Gastrointestinal perforation other imaging findings: Difference between revisions
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Created page with "__NOTOC__ {{CMG}}; {{AE}} {{MAD}} {{Gastrointestinal perforation}} ==Overview== Fluoroscopy most sensitive within the first 24 hours 1 patient examined semi-supine on fluor..." |
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__NOTOC__ | __NOTOC__ | ||
{{CMG}}; {{AE}} {{MAD}} | {{CMG}}; {{AE}} {{MAD}} | ||
{{Gastrointestinal perforation}} | {{Gastrointestinal perforation}} | ||
==Overview== | ==Overview== | ||
suspected | === Fluoroscopy === | ||
* Most sensitive within the first 24 hours. | |||
* A [[Water-soluble|water-soluble agent]] should be used initially as [[barium]] can cause [[mediastinitis]] and can produce [[granulomas]]. | |||
* [[Esophageal perforation]] may be represented as [[Mucous membrane|mucosal]] irregularity or gross extraluminal contrast extravasation. | |||
* [[Dye]] studies may be useful for evaluating patients with a [[pleural effusion]] and a [[Thoracotomy|thoracotomy tube]] who are suspected to have an esophageal leak. | |||
==== Suspected gastroduodenal perforation ==== | |||
* An upper GI study with water-soluble contrast medium is not usually the primary study for detection of a suspected gastric or duodenal perforation but can be useful for confirmation of an equivocal appearance on CT or for detection of the precise location of a small perforation. | |||
the | ==== Suspected small bowel perforation ==== | ||
* Small bowel follow through is inferior to CT of the abdomen and pelvis with oral contrast for detection and localization of small bowel perforation. | |||
==References== | ==References== | ||
Revision as of 19:39, 30 December 2017
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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Overview
Fluoroscopy
- Most sensitive within the first 24 hours.
- A water-soluble agent should be used initially as barium can cause mediastinitis and can produce granulomas.
- Esophageal perforation may be represented as mucosal irregularity or gross extraluminal contrast extravasation.
- Dye studies may be useful for evaluating patients with a pleural effusion and a thoracotomy tube who are suspected to have an esophageal leak.
Suspected gastroduodenal perforation
- An upper GI study with water-soluble contrast medium is not usually the primary study for detection of a suspected gastric or duodenal perforation but can be useful for confirmation of an equivocal appearance on CT or for detection of the precise location of a small perforation.
Suspected small bowel perforation
- Small bowel follow through is inferior to CT of the abdomen and pelvis with oral contrast for detection and localization of small bowel perforation.