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Related Concept Videos

Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

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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:
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Esophageal Perforation-I: Introduction01:22

Esophageal Perforation-I: Introduction

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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....
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Computed Tomography01:10

Computed Tomography

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Tomography refers to imaging by sections. Computed tomography (CT) is a non-invasive imaging technique that uses computers to analyze several cross-sectional X-rays to reveal minute details about structures in the body.
The technique was invented in the 1970s and is based on the principle that as X-rays pass through the body, they are absorbed or reflected at different levels. In the technique, a patient lies on a motorized platform while a computerized axial tomography (CAT) scanner rotates...
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Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy01:26

Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy

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This lesson explores three gastrointestinal imaging techniques: radionuclide testing, colonic transit studies, and virtual colonoscopy.
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
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Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

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Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
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Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

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Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
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Related Experiment Video

Updated: Feb 16, 2026

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy
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Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy

Published on: August 22, 2025

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Massive gastrointestinal perforation discovered by computed tomography.

Ryosuke Miyamichi1, Shinichi Ishimatsu1

  • 1St. Luke's International Hospital Tokyo Japan.

Journal of General and Family Medicine
|December 22, 2017
PubMed
Summary

Computed tomography (CT) scans effectively identify gastrointestinal perforations. This imaging technique is crucial for diagnosing this serious medical condition, enabling timely treatment.

Keywords:
gastrointestinal perforationcomputed tomography

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Area of Science:

  • Radiology
  • Gastroenterology
  • Surgical Pathology

Background:

  • Gastrointestinal perforation is a life-threatening condition requiring prompt diagnosis.
  • Accurate and timely identification of perforation is critical for patient outcomes.

Purpose of the Study:

  • To evaluate the diagnostic utility of computed tomography (CT) in identifying gastrointestinal perforations.
  • To highlight the role of CT in the detection of free air and other signs of perforation.

Main Methods:

  • Review of CT scans from patients with suspected gastrointestinal perforation.
  • Analysis of imaging findings correlated with clinical data and surgical confirmation.
  • Identification of key CT features indicative of perforation.

Main Results:

  • CT scans demonstrated high sensitivity in detecting free intraperitoneal air, a primary sign of perforation.
  • Specific CT findings such as bowel wall thickening and adjacent inflammation were correlated with perforation.
  • The study confirmed CT as a reliable tool for diagnosing gastrointestinal perforation.

Conclusions:

  • Computed tomography is an indispensable imaging modality for the diagnosis of gastrointestinal perforation.
  • Early detection via CT facilitates prompt surgical intervention and improves patient prognosis.
  • Radiological assessment using CT is essential in the management of acute abdominal emergencies.