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Related Concept Videos

Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy01:26

Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy

This lesson explores three gastrointestinal imaging techniques: radionuclide testing, colonic transit studies, and virtual colonoscopy.
Radionuclide Testing
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Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

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Esophageal Perforation-I: Introduction01:22

Esophageal Perforation-I: Introduction

Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus.
Imaging Studies V: Intravenous Urography and Retrograde Pyelography01:22

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Related Experiment Video

Updated: Jun 13, 2026

An Approach to Point-Of-Care Ultrasound Evaluation of the Abdominal Aorta
07:12

An Approach to Point-Of-Care Ultrasound Evaluation of the Abdominal Aorta

Published on: September 8, 2023

Evolution of imaging for abdominal perforation.

J P Singh1, M J Steward, T C Booth

  • 1Department of Radiology, The Whittington Hospital, Royal Free and University College Medical School, London, UK.

Annals of the Royal College of Surgeons of England
|April 24, 2010
PubMed
Summary

Computed tomography (CT) aids in identifying gastrointestinal (GI) perforation sites. Characteristic CT findings, including free gas and bowel wall changes, help in surgical planning.

Related Experiment Videos

Last Updated: Jun 13, 2026

An Approach to Point-Of-Care Ultrasound Evaluation of the Abdominal Aorta
07:12

An Approach to Point-Of-Care Ultrasound Evaluation of the Abdominal Aorta

Published on: September 8, 2023

Area of Science:

  • Radiology
  • Gastroenterology
  • Surgical Pathology

Background:

  • Gastrointestinal (GI) perforation is a frequent surgical emergency.
  • Computed tomography (CT) is the preferred imaging modality for diagnosing GI perforation.
  • CT findings can be subtle and require careful interpretation.

Purpose of the Study:

  • To review the role of CT in diagnosing GI perforation.
  • To highlight characteristic CT appearances and diagnostic pitfalls.
  • To emphasize the importance of CT in pre-operative evaluation.

Main Methods:

  • A comprehensive literature search of MEDLINE and PubMed was conducted.
  • The search focused on studies published before June 2009 using MeSH terms 'CT' and 'perforation'.
  • Non-English literature was excluded from the review.

Main Results:

  • CT accurately predicts the site of GI perforation across various etiologies (inflammatory, neoplastic, traumatic, iatrogenic).
  • Key CT findings include free intraperitoneal gas or fluid, segmental bowel wall thickening, discontinuity, mesenteric stranding, and abscess formation.
  • Subtle or indirect signs of perforation can occur, necessitating thorough analysis.

Conclusions:

  • Characteristic CT features enable precise pre-operative assessment of GI perforation.
  • Accurate CT interpretation is crucial for multidisciplinary patient management and surgical planning.
  • Understanding CT findings improves diagnostic accuracy and guides surgical intervention.