Gastrointestinal perforation CT

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mohammed Abdelwahed M.D[2]

Gastrointestinal perforation Microchapters

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Overview

Chest CT

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  • Signs of perforation on abdominal CT scanning include:
  • Extraluminal oral contrast
  • free fluid or food collections
  • discontinuity of the intestinal wall
  • localized peritoneal fat stranding
  • bowel wall thickening
  • oral contrast, then often the leak can be seen directly as contrast spills out of the perforation site
  • fistula
  • intra-abdominal abscess
  • [82,93,99,100].
Intestinal perforation CT, source: Case courtesy of Dr Ian Bickle, Radiopaedia.org, rID: 47152
Intestinal perforation CT, source: Case courtesy of Dr Ian Bickle, Radiopaedia.org, rID: 47152
CT shows large bowel perforation, source: Case courtesy of Dr Ian Bickle, Radiopaedia.org, rID: 55375

References