Perforation of the mesenteric small bowel

Etiologies and CT findings

John Hines, Juliana Rosenblat, Dameon R. Duncan, Barak Friedman, Douglas S. Katz

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

The purpose of this article is to illustrate and discuss the various etiologies of perforation of the mesenteric small bowel and associated findings on abdominal CT. Perforation of the mesenteric small bowel is an uncommon cause of an acute abdomen and can be due to various etiologies. In underdeveloped countries, infection is probably the most common cause, while in industrialized nations, perforation may be due to Crohn disease, diverticulitis, foreign body, trauma, tumor, mechanical obstruction, primary ischemic event, or iatrogenic causes. CT is usually the initial imaging examination in patients with an acute abdomen and is sensitive in diagnosing small bowel perforation. CT findings in the setting of small bowel perforation are often subtle, but when present, may help the radiologist determine a specific cause of perforation. The aims of this pictorial essay are to review the various causes of mesenteric small bowel perforation and to discuss and illustrate the CT findings that can help arrive at the diagnosis.

Original languageEnglish (US)
Pages (from-to)155-161
Number of pages7
JournalEmergency Radiology
Volume20
Issue number2
DOIs
StatePublished - Apr 2013

Fingerprint

Acute Abdomen
Diverticulitis
Foreign Bodies
Developed Countries
Crohn Disease
Wounds and Injuries
Infection
Neoplasms
Radiologists

Keywords

  • CT
  • Perforation
  • Small bowel

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Emergency Medicine

Cite this

Hines, J., Rosenblat, J., Duncan, D. R., Friedman, B., & Katz, D. S. (2013). Perforation of the mesenteric small bowel: Etiologies and CT findings. Emergency Radiology, 20(2), 155-161. https://doi.org/10.1007/s10140-012-1095-3

Perforation of the mesenteric small bowel : Etiologies and CT findings. / Hines, John; Rosenblat, Juliana; Duncan, Dameon R.; Friedman, Barak; Katz, Douglas S.

In: Emergency Radiology, Vol. 20, No. 2, 04.2013, p. 155-161.

Research output: Contribution to journalArticle

Hines, J, Rosenblat, J, Duncan, DR, Friedman, B & Katz, DS 2013, 'Perforation of the mesenteric small bowel: Etiologies and CT findings', Emergency Radiology, vol. 20, no. 2, pp. 155-161. https://doi.org/10.1007/s10140-012-1095-3
Hines, John ; Rosenblat, Juliana ; Duncan, Dameon R. ; Friedman, Barak ; Katz, Douglas S. / Perforation of the mesenteric small bowel : Etiologies and CT findings. In: Emergency Radiology. 2013 ; Vol. 20, No. 2. pp. 155-161.
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