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Published on: July 21, 2023
Indirect Radiological Signs of Hollow Organ Perforation
1Chang Gung Memorial Hospital Department of Emergency Medicine, Keelung and Chang Gung University College of Medicine Taoyuan Taiwan.
Abstract:
Hollow organ perforation is a serious and common abdominal emergency. The diagnosis depends on history taking, physical examination, and radiological fi ndings. We reported a hollow organ perforation patient with only indirect radiological signs of the heterogenous enhanced lesion between the stomach, duodenum, and liver over initial abdominal computed tomography. Pneumoperitoneum occurred in follow-up chest X-ray 5 hours after the emergency department visit. The reason for the delayed occurrence of pneumoperitoneum, direct/indirect radiological signs of hollow organ perforation, and ways to avoid this pitfall are discussed.
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