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Related Experiment Videos

Extraluminal air bubble on computed tomography.

H Itoh1, N Takahashi, N Kano

  • 1Department of Radiology, Matsunami General Hospital, Gifu, Japan.

Radiation Medicine
|January 1, 1990
PubMed
Summary

Tiny extraluminal air bubbles on computed tomography (CT) scans can indicate gastrointestinal perforation. Careful examination of the liver

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Area of Science:

  • Gastroenterology
  • Radiology
  • Abdominal Imaging

Background:

  • Gastrointestinal perforation is a critical surgical emergency.
  • Computed tomography (CT) is a key diagnostic tool for acute abdominal conditions.

Observation:

  • Two cases revealed tiny extraluminal air bubbles on CT scans.
  • These bubbles were incidentally found near the round ligament of the liver and adjacent to the gastric wall.

Findings:

  • A tiny extraluminal air bubble adjacent to the round ligament of the liver was associated with a perforated duodenal ulcer.
  • Another case showed an air bubble and fluid near the round ligament in a patient with anterior gastric wall perforation.

Implications:

  • The round ligament of the liver is a potential site to detect subtle extraluminal air or fluid.
  • Radiologists should meticulously examine this region in patients with acute abdominal symptoms to aid in diagnosing gastrointestinal perforation.

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