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RESEARCH PRODUCT

Small Bowel Perforations: What the Radiologist Needs to Know

Dario PiconeMassimo MidiriSergio SalernoGiuseppe Lo ReFrancesca La MantiaFederica Vernuccio

subject

Radiology Nuclear Medicine and Imagingmedicine.medical_specialtyPerforation (oil well)Bowel perforation030218 nuclear medicine & medical imagingDiagnosis Differential03 medical and health sciences0302 clinical medicineIntussusception (medical disorder)Intestine SmallmedicineHumansRadiology Nuclear Medicine and imagingUltrasonographybusiness.industryCrohn diseasedigestive oral and skin physiology030208 emergency & critical care medicineDiverticulitisImage Enhancementmedicine.diseasedigestive system diseasesVolvulusBowel obstructionIntestinal PerforationRadiologyTomography X-Ray ComputedbusinessSmall bowel perforation

description

The incidence of small bowel perforation is low but can develop from a variety of causes including Crohn disease, ischemic or bacterial enteritis, diverticulitis, bowel obstruction, volvulus, intussusception, trauma, and ingested foreign bodies. In contrast to gastroduodenal perforation, the amount of extraluminal air in small bowel perforation is small or absent in most cases. This article will illustrate the main aspects of small bowel perforation, focusing on anatomical reasons of radiological findings and in the evaluation of the site of perforation using plain film, ultrasound, and multidetector computed tomography equipments. In particular, the authors highlight the anatomic key notes and the different direct and indirect imaging signs of small bowel perforation.

https://doi.org/10.1053/j.sult.2015.11.001