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In intestinal perforation, gas may be visible under the diaphragm on chest x-ray while the patient is in an upright position. While x-ray is a fast and inexpensive to screen for perforation, an abdominal CT scan with contrast is more sensitive and specific for establishing a diagnosis as well as determining the underlying cause. [19]
Typical symptoms can include abdominal pain, abdominal distention, abdominal cramping, nausea, vomiting, fever, rectal bleeding, and possible bowel perforation. [2] Patients that develop bowel perforation may present in an acute state with severe abdominal pain and signs of perforation, such as abdominal distention, guarding and rigidity , and ...
Attempts at removal can have severe and even lethal effects, such as the rupture of the colon wall by catheter or an acute angle of the fecaloma (stercoral perforation), followed by sepsis. It may also lead to stercoral perforation, a condition characterized by bowel perforation due to pressure necrosis from a fecal mass or fecaloma. [14] [15]
Perforated ulcer; Other names: Ruptured ulcer: Endoscopic image of a posterior wall duodenal ulcer with a clean base, which is a common cause of upper gastrointestinal hemorrhage and could potentially lead to perforation. Specialty: Gastroenterology Symptoms: Abdominal pain, vomiting, nausea: Complications: Bowel perforation, sepsis ...
Solitary rectal ulcer syndrome (SRUS) is a rare benign disease characterized by symptoms, clinical findings, and histological abnormalities. [9] Only 40% of patients have ulcers; 20% of patients have a single ulcer, and the remaining lesions range in size and form from broad-based polypoid to hyperemic mucosa. [10]
The treatment of intestinal ischemia depends on the cause and can be medical or surgical. However, if bowel has become necrotic, the only treatment is surgical removal of the dead segments of bowel. [34] In non-occlusive disease, where there is no blockage of the arteries supplying the bowel, the treatment is medical rather than surgical ...
Perforation of the intestinal tract, pancreatitis, pelvic inflammatory disease, cirrhosis, ruptured appendix [3] Risk factors: Ascites, peritoneal dialysis [4] Diagnostic method: Examination, blood tests, medical imaging [6] Treatment: Antibiotics, intravenous fluids, pain medication, surgery [3] [4] Frequency: Relatively common [1]
The bowel may be perforated. [4] Gas within the abdominal cavity seen on CT is understood to be a diagnostic sign of bowel perforation ; however intra-abdominal air can also be caused by pneumothorax (air in the pleural cavity outside the lungs that has escaped from the respiratory system ) or pneumomediastinum (air in the mediastinum , the ...