Zissin R, Osadchy A, Gayer G
Department of Diagnostic Imaging, Meir Medical Center, Kfar Saba, Israel.
Br J Radiol. 2009 Feb;82(974):162-71. doi: 10.1259/bjr/78772574. Epub 2008 Oct 13.
Small bowel perforation is an emergent medical condition for which the diagnosis is usually not made clinically but by CT, a common imaging modality used for the diagnosis of acute abdomen. Direct CT features that suggest perforation include extraluminal air and oral contrast, which are often associated with secondary CT signs of bowel pathology. This pictorial review illustrates the CT findings of small bowel perforation caused by various clinical entities.
小肠穿孔是一种紧急医疗状况,其诊断通常不是通过临床检查做出,而是借助CT(一种常用于诊断急腹症的常见影像学检查方式)。提示穿孔的CT直接征象包括肠腔外气体和口服对比剂,这些征象常伴有肠道病变的继发性CT表现。本影像学综述阐述了由各种临床病因导致的小肠穿孔的CT表现。