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Updated: Jan 22, 2026

Endovascular Perforation Model for Subarachnoid Hemorrhage Combined with Magnetic Resonance Imaging MRI
Published on: December 16, 2021
Multidetector CT findings in gastrointestinal tract perforation that can help prediction of perforation site
H Toprak1, T F Yilmaz1, I Yurtsever1
1Department of Radiology, Faculty of Medicine, Bezmialem Vakif University, Istanbul, Turkey.
Aim:
To assess the accuracy, sensitivity, and specificity of multidetector computed tomography (MDCT) findings by comparing the locations of free air in the abdomen and imaging findings with the site of gastrointestinal perforation.
Materials And Methods:
Ninety-three patients with acute abdominal pain who visited the emergency department between January 2015 and October 2018 were included in the study. There were 59 male and 34 female patients with a mean age of 50.5 years. The site of perforation was based on surgical findings in all cases.
Results:
Among specific air distributions, periportal free air and subphrenic free air were statistically significant in differentiating upper gastrointestinal tract perforation. Whereas free air in the minor pelvis, right lower quadrant free air, left lower quadrant free air, and air in the mesentery were statistically significant in differentiation of lower gastrointestinal tract perforation.
Conclusion:
Multidetector findings may help to predict the site of gastrointestinal perforation, which would change the treatment plan.
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