Gastrointestinal perforation x-ray: Difference between revisions

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==Overview==
==Overview==
X-ray may be useful to diagnose gut perforation. Findings of chest x-ray in [[esophageal perforation]] include [[Pneumomediastinum]], ring-around-the-artery sign in cases of [[pneumomediastinum]], and widening of the [[mediastinum]]. 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, and [[Rigler's sign|rigler sign]] is seen as gas outlines the inner and outer surfaces of [[Intestine|the intestine]]. Signs of perforation on plain neck imaging include s[[Subcutaneous emphysema|ubcutaneous emphysema]] tracking into [[Neck|the neck]], anterior displacement of the [[trachea]], and air in the [[Prevertebral fascia|prevertebral fascial]] planes on lateral view.


==Gastrointestinal perforation x-ray==
=== Chest imaging ===
=== Chest imaging ===
* 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>
* 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>
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==References==
==References==
<references />
{{Reflist|2}}

Latest revision as of 03:39, 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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Overview

X-ray may be useful to diagnose gut perforation. Findings of chest x-ray in esophageal perforation include Pneumomediastinum, ring-around-the-artery sign in cases of pneumomediastinum, and widening of the mediastinum. 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, and rigler sign is seen as gas outlines the inner and outer surfaces of the intestine. Signs of perforation on plain neck imaging include subcutaneous emphysema tracking into the neck, anterior displacement of the trachea, and air in the prevertebral fascial planes on lateral view.

Gastrointestinal perforation x-ray

Chest imaging

Abdominal imaging

Findings of abdominal x-ray in esophageal perforation include:

Neck imaging

Signs of perforation on plain neck imaging include:[3]

X-ray abdomen and chest shows bowel perforation,source: Case courtesy of Dr Rahul Kulkarni, Radiopaedia.org, rID: 21444
Intestinal obstruction x-ray, source: Case courtesy of Dr Ahmed Abd Rabou, Radiopaedia.org, rID: 35721

References

  1. Sinha R (2007). "Naclerio's V sign". Radiology. 245 (1): 296–7. doi:10.1148/radiol.2451042197. PMID 17885199.
  2. Marshall GB (2006). "The cupola sign". Radiology. 241 (2): 623–4. doi:10.1148/radiol.2412040700. PMID 17057080.
  3. 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.