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Perforated peptic ulcer AND diagnostic radiography

Z Z Sanogo, M Camara, M M Doumbia, L Soumaré, S Koumaré, S Keïta, A K Koïta, M A Ouattara, S Togo, S Yéna, D Sangaré
AIMS: To determine the most frequent causes of the digestive perforations and to evaluate the surgical procedures, the morbidity and mortality. PATIENTS AND METHODS: It was about a retrospective descriptive study, over 5 year's period in a visceral service of CHU du Point G, Bamako. Were included in the study all the patients operated for digestive perforation and hospitalized in the service of surgery "A". Were not included in the study patient operated not presenting a digestive perforation...
2012: Le Mali Médical
J A Ashindoitiang, A O Atoyebi, R A Arogundade
OBJECTIVE: The plain abdominal x-ray is still the first imaging modality in diagnosis of acute abdomen. The aim of this study was to find the value of plain abdominal x-ray in the management of abdominal emergencies seen in Lagos university teaching hospital. BACKGROUND: The accurate diagnosis of the cause of acute abdominal pain is one of the most challenging undertakings in emergency medicine. This is due to overlapping of clinical presentation and non-specific findings of physical and even laboratory data of the multifarious causes...
July 2008: Nigerian Quarterly Journal of Hospital Medicine
A Furukawa, M Sakoda, M Yamasaki, N Kono, T Tanaka, N Nitta, S Kanasaki, K Imoto, M Takahashi, K Murata, T Sakamoto, T Tani
Gastrointestinal tract perforation is an emergent condition that requires prompt surgery. Diagnosis largely depends on imaging examinations, and correct diagnosis of the presence, level, and cause of perforation is essential for appropriate management and surgical planning. Plain radiography remains the first imaging study and may be followed by intraluminal contrast examination; however, the high clinical efficacy of computed tomographic examination in this field has been well recognized. The advent of spiral and multidetector-row computed tomographic scanners has enabled examination of the entire abdomen in a single breath-hold by using thin-slice sections that allow precise assessment of pathology in the alimentary tract...
September 2005: Abdominal Imaging
Antonio Pinto, Mariano Scaglione, Sabrina Giovine, Stefania Romano, Francesco Lassandro, Roberto Grassi, Luigia Romano
PURPOSE: To compare the site of multislice spiral computed tomography (MSCT) signs of gastrointestinal perforation and the site of perforation at surgery in forty perforated patients. MATERIALS AND METHODS: Between January 1 and July 31, 2003, a total of 40 patients (23 men and 17 women) underwent surgery for gastrointestinal perforation. In all cases, plain radiography of the abdomen was integrated by MSCT with the following parameters: 0.5 seconds gantry rotation time, 2...
September 2004: La Radiologia Medica
Roberto Grassi, Stefania Romano, Antonio Pinto, Luigia Romano
INTRODUCTION: Gastro-duodenal perforations may be suspected in patients with history of ulceration, who present with acute pain and abdominal wall rigidity, but radiological findings in these cases may be unable to confirm a clinical diagnosis. The aim of our study was to report our experience in the diagnosis of gastro-duodenal perforation by conventional radiography, US and CT examinations. MATERIAL AND METHODS: We retrospectively reviewed medical records of 166 consecutive patients who presented in the last 2 years to our institutions with symptoms of acute abdomen and submitted to surgery at the Emergency Unit of the "A...
April 2004: European Journal of Radiology
L Wallstabe, R Veitt, T Körner
Patients with a perforation of the gastrointestinal tract need fast confirmation of diagnosis and early treatment to improve outcome. Plain abdominal x-ray does not always prove the perforation particularly at early stage. We report about a 62 year-old woman complaining of consistent abdominal pain with sudden onset. Ultrasound was taken as first diagnostic measure, revealing a perforation. The leakage was located in the stomach. Radiography confirmed the pneumoperitoneum without indicating the perforated location...
October 2002: Zeitschrift Für Gastroenterologie
B Marincek
Common causes of acute abdominal pain include appendicitis, cholecystitis, bowel obstruction, urinary colic, perforated peptic ulcer, pancreatitis, diverticulitis, and nonspecific, nonsurgical abdominal pain. The topographic classification of acute abdominal pain (pain in one of the four abdominal quadrants, diffuse abdominal pain, flank or epigastric pain) facilitates the choice of the imaging technique. The initial radiological evaluation often consists of plain abdominal radiography, despite significant diagnostic limitations...
September 2002: European Radiology
J W Huang, Y S Peng, M S Wu, T J Tsai
Peritonitis due to viscus perforation in peritoneal dialysis (PD) patients can be catastrophic. We describe the first reported case of perforated peptic ulcer (PPU) in a PD patient. This 78-year-old man presented with a 1-day history of mild abdominal pain. He had been receiving nocturnal intermittent PD for 2 years and had ischemic heart disease and cirrhosis of the liver. Pneumoperitoneum and peritonitis were documented, but the symptoms were mild. The "board-like abdomen" sign was not noted. Air inflation and contrast radiography indicated a perforation in the upper gastrointestinal tract, and laparotomy disclosed a perforation in the prepyloric great curvature...
April 1999: American Journal of Kidney Diseases: the Official Journal of the National Kidney Foundation
J H Johnson, A M Wolf, J M Jensen, T Fossum, D Rohn, R W Green, M Willard
An 11-yr-old female cheetah (Acinonyx jubilatus) from a privately owned breeding center for endangered species was referred for evaluation with a history of vomiting and depression of 10 days' duration. After anesthetic induction with tiletamine and zolazepam and anesthetic maintenance with isoflurane, a complete diagnostic workup was performed, including hematology, serum chemistry, and radiography. The clinical diagnosis was septic suppurative inflammation and hemorrhage in the abdomen, consistent with perforation or rupture of the gastrointestinal tract...
December 1997: Journal of Zoo and Wildlife Medicine: Official Publication of the American Association of Zoo Veterinarians
O Catalano
Plain radiography is the method of choice in suspected perforating pneumoperitoneum. Nevertheless, especially when air collections are small, the technique must be very accurate, with patient mobilization and long examination times, which may be unfeasible in acute abdomen patients. To overcome these limitations, such cross-sectional imaging methods as US and especially CT are increasingly used. Our series consisted of 38 patients with gastrointestinal tract perforation examined 1990-94; thirty-one of them had surgical confirmation...
March 1996: La Radiologia Medica
H Hartung, R Kirchner
In the course of acute pancreatitis an edematous and a hemorrhagic necrotizing pattern have to be discerned. Clinical symptoms are upper abdominal pain, shock, and metabolic derangements. Only subtle diagnostic procedures are appropriate as for instance x-ray of the chest and x-ray of the abdomen. Laboratory exams are of little value. For conservative treatment atropin, glucagon, calcitonin and antibiotics are being used nowadays, where as the efficacy of aprotinin is controversial. In the Department of Surgery of the Freiburg University Medical School an attempt at early surgery is made...
February 1980: Leber, Magen, Darm
A Schulman, S Fataar, B Alheit
The radiological and clinical features of 9 cases of obstructed post-traumatic diaphragmatic hernia are reviewed. In none of these patients was the diagnosis of a diaphragmatic hernia considered before radiography, all cases being clinically diagnosed as 'acute abdomen', most frequently pancreatitis or perforated peptic ulcer. Even after radiographs had shown opacity at the left base in all 9 cases, together with a distended proximal bowel in 6, the correct diagnosis was made in only 4. Through lack of correct radiological diagnosis, there was a delay of at least 1 day between admission and operation in 6 patients, and 3 of the 4 deaths occurred in this group...
July 6, 1985: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
B M Miller, A Kumar
Duodenal perforation in neonates is uncommon, and has been described rarely in the third part of the duodenum. Gastrointestinal perforations without an obvious cause have been labeled as "spontaneous." We report a case of perforation in the third part of the duodenum in a premature infant for which there was no obvious cause. In such "spontaneous" perforations, multifactorial etiology is likely and possible factors are discussed. The high mortality rate in such patients can be improved by early diagnosis and prompt resuscitation followed by surgery...
October 1990: Journal of Pediatric Gastroenterology and Nutrition
S Paterson-Brown, M N Vipond
Acute abdominal pain continues to provide not only a large workload for the general surgeon but also many diagnostic and management problems. Many different techniques have been introduced over the past two decades to help in the management of the acute abdomen and this review considers their relative claims to become incorporated into the process of clinical decision-making. The evidence in support of formally structured patient interview pathways with or without computer-aided diagnostic programs is now overwhelming and should become routine...
January 1990: British Journal of Surgery
S Fine, A Weg, P Miskovitz
Appreciation for the diagnostic value of plain (noncontrast) radiography of the gastrointestinal tract appears to have diminished with the advent of more sophisticated imaging techniques. A case in which scrutiny of the gastric air pattern on plain abdominal films suggested the underlying presence of Zollinger-Ellison syndrome emphasizes the potential diagnostic value of plain radiography of the abdomen for gastric disorders.
April 1991: Journal of Clinical Gastroenterology
H A Shaffer
Proliferation of new imaging modalities has changed the way abdominal emergencies are evaluated in medical centers where ready access to equipment and personnel make emergency CT, ultrasonography, interventional radiology, and endoscopy available at all hours of the day or night. In many cases, plain abdominal radiography is being relegated to an ancillary diagnostic role. Conversely, in medical centers with fewer resources, plain radiography remains a primary screening modality for most acute abdominal conditions...
March 1992: Radiologic Clinics of North America
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