Itoh H, Takahashi N, Kano N, Adachi T, Haeno Y, Yamada N
Department of Radiology, Matsunami General Hospital, Gifu, Japan.
Radiat Med. 1990 Jan-Feb;8(1):6-7.
We present two cases of gastrointestinal perforation associated with a tiny extraluminal air bubble on computed tomography (CT). The air bubble was located at the round ligament of the liver in a patient of perforated duodenal ulcer and at the intraperitoneal space adjacent to the perforated site of the anterior gastric wall in the other patient. A small amount of fluid was also seen at the round ligament in the second patient. The region of the round ligament of the liver should be carefully scrutinized for the presence of extraluminal air or fluid in patients with acute abdominal symptomatology.
我们报告两例计算机断层扫描（CT）显示胃肠道穿孔伴有微小腔外气泡的病例。在一例十二指肠溃疡穿孔患者中，气泡位于肝圆韧带处；在另一例患者中，气泡位于胃前壁穿孔部位附近的腹腔内。第二例患者的肝圆韧带处也可见少量液体。对于有急性腹部症状的患者，应仔细检查肝圆韧带区域是否存在腔外气体或液体。
