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KMID : 0880420090100010063
Korean Journal of Radiology
2009 Volume.10 No. 1 p.63 ~ p.70
Gastrointestinal Tract Perforation: MDCT Findings according to the Perforation Sites
Kim Sung-Hwan

Shin Sang-Soo
Jeong Yong-Yeon
Heo Suk-Hee
Kim Jin-Woong
Kang Heoung-Keun
Abstract
Our objective is to describe the characteristic CT findings of gastrointestinal (GI) tract perforations at various levels of the gastrointestinal system. It is beneficial to localize the perforation site as well as to diagnose the presence of bowel perforation for planning the correct surgery. CT has been established as the most valuable imaging technique for identifying the presence, site and cause of the GI tract perforation. The amount and location of extraluminal free air usually differ among various perforation sites. Further, CT findings such as discontinuity of the bowel wall and concentrated free air bubbles in close proximity to the bowel wall can help predict the perforation site. Multidetector CT with the multiplanar reformation images has improved the accuracy of CT for predicting the perforation sites.
KEYWORD
Gastrointestinal tract, CT, Gastrointestinal tract, perforation, MDCT, acute abdomen, MDCT, perforation
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