Indirect Radiological Signs of Hollow Organ Perforation

Ching-Hsing Lee

《Journal of Acute Medicine》 11卷1期 (2021/03) Pp. 28-31

https://doi.org/10.6705/j.jacme.202103_11(1).0005

摘要

Hollow organ perforation is a serious and common abdominal emergency. The diagnosis depends on history taking, physical examination, and radiological findings. We reported a hollow organ perforation patient with only indirect radiological signs of the heterogenous enhanced lesion between the stomach, duodenum, and liver over initial abdominal computed tomography. Pneumoperitoneum occurred in follow-up chest X-ray 5 hours after the emergency department visit. The reason for the delayed occurrence of pneumoperitoneum, direct/indirect radiological signs of hollow organ perforation, and ways to avoid this pitfall are discussed.

關鍵字

hollow organ perforation ； acute abdomen ； pneumoperitoneum ； peritonitis