Wojtowycz M M, Arata J A, Micklos T J, Miller F J
Department of Radiology, University of Utah, Salt Lake City.
AJR Am J Roentgenol. 1988 Aug;151(2):307-9. doi: 10.2214/ajr.151.2.307.
CT scans of the upper abdomen were obtained 1 hr to 9 days after percutaneous placement of feeding gastrostomy in 18 patients in order to establish a range of normal postprocedural findings. A majority of patients (56%) had pneumoperitoneum. Additional findings included abdominal wall hematomas in six patients (33%) and gastric hematomas in three patients (17%). Except for one case of mild ascites in an individual with large hepatic metastases, no abdominal fluid collections were discovered. After percutaneous gastrostomy, pneumoperitoneum and abdominal wall or gastric hematomas are commonly present. Presence of subcutaneous emphysema, free peritoneal fluid, or a loculated abdominal fluid collection should alert one to a possible complication.
为了确定经皮胃造口术后一系列正常的检查结果，对18例患者在经皮放置胃造口术后1小时至9天进行了上腹部CT扫描。大多数患者（56%）出现气腹。其他检查结果包括6例患者（33%）出现腹壁血肿，3例患者（17%）出现胃血肿。除1例有大的肝转移的患者出现轻度腹水外，未发现腹腔积液。经皮胃造口术后，气腹以及腹壁或胃血肿很常见。皮下气肿、游离腹腔积液或局限性腹腔积液的出现应提醒警惕可能出现的并发症。
