Psoas sign of pneumoperitoneum

Area of Science:

• Radiology
• Gastroenterology
• Surgical Diagnosis

Background:

• Gastrointestinal perforation is a critical surgical emergency.
• The psoas sign is an indicator of intra-abdominal inflammation.
• Diagnostic imaging plays a crucial role in identifying gastrointestinal perforation.

Purpose of the Study:

• To evaluate the diagnostic utility of abdominal radiography in cases of gastrointestinal perforation presenting with a psoas sign.
• To compare the role of abdominal radiography with computed tomography (CT) in diagnosing gastrointestinal perforation.

Main Methods:

• Abdominal radiography was utilized for initial diagnosis.
• Computed tomography (CT) was considered the most useful modality for definitive diagnosis.
• Clinical correlation was emphasized in the diagnostic process.

Main Results:

• Gastrointestinal perforation was diagnosed using abdominal radiography.
• The presence of a psoas sign was noted in the diagnosis.
• CT was identified as the most useful imaging modality.

Conclusions:

• Abdominal radiography can aid in the diagnosis of gastrointestinal perforation, particularly when a psoas sign is present.
• Despite the superiority of CT, abdominal radiography remains a relevant initial diagnostic tool for clinicians.
• Integrated diagnostic approaches considering clinical presentation and imaging findings are essential.