From esophagus to rectum: a comprehensive review of alimentary tract perforations at computed tomography.

Journal Article (Journal Article;Review)

Gastrointestinal (GI) tract perforation is a life-threatening condition that can occur at any site along the alimentary tract. Early perforation detection and intervention significantly improves patient outcome. With a high sensitivity for pneumoperitoneum, computed tomography (CT) is widely accepted as the diagnostic modality of choice when a perforated hollow viscus is suspected. While confirming the presence of a perforation is critical, clinical management and surgical technique also depend on localizing the perforation site. CT is accurate in detecting the site of perforation, with segmental bowel wall thickening, focal bowel wall defect, or bubbles of extraluminal gas concentrated in close proximity to the bowel wall shown to be the most specific findings. In this article, we will present the causes for perforation at each site throughout the GI tract and review the patterns that can lead to prospective diagnosis and perforation site localization utilizing CT images of surgically proven cases.

Full Text

Duke Authors

Cited Authors

  • Del Gaizo, AJ; Lall, C; Allen, BC; Leyendecker, JR

Published Date

  • August 2014

Published In

Volume / Issue

  • 39 / 4

Start / End Page

  • 802 - 823

PubMed ID

  • 24584681

Electronic International Standard Serial Number (EISSN)

  • 1432-0509

Digital Object Identifier (DOI)

  • 10.1007/s00261-014-0110-4


  • eng

Conference Location

  • United States