Hollow viscus perforation with gas under diaphragm: a misnomer?

Simple item page
dc.contributor.authorDutta, P.en_US
dc.contributor.authorWadhawan, G.en_US
dc.contributor.authorArora, R.en_US
dc.contributor.authorSharma, S.en_US
dc.date.accessioned2024-09-24T10:51:31Z
dc.date.available2024-09-24T10:51:31Z
dc.date.issued2023-07
dc.description.abstractBackground: Hollow viscus perforation is suspected when radiographs show the presence of gas under diaphragm and is usually an indication for surgical abdominal exploration. This is significant because in cases of hollow viscous perforation, plain radiography may be used as the first line of diagnosis. Concerns regarding diagnosing those 30% cases of hollow viscus perforation which was not detected by the plain radiography. Methods: A bound prospective study of patients who were managed for perforated hollow abdominal viscus, when no abnormality was appreciated on radiographs, confirmation was done either on the basis of clinical examination, further investigations or by exploratory laparotomy performed on basis of selection of cases. Results: Based on the study, 15 patients were found with no gas under diaphragm on radiographs and perforation was confirmed on the grounds of clinical, physical examination, further investigations or by exploratory laparotomy on basis of cases. The results obtained in the present study shows male predominance, duodenal perforation being the most common perforation amongst hollow viscus perforations and age group of 20-40 years were affected mainly. Conclusions: It is important to note that not all the cases of pneumoperitoneum indicate perforated abdominal viscus or vice versa. This study highlights the difficulty in pre-operative diagnosing pneumoperitoneum with upright chest and abdominal X-rays provided its sensitivity varied from 50-98%.en_US
dc.identifier.affiliationsDepartment of General Surgery, Pacific Medical College and Hospital, Udaipur, Rajasthan, Indiaen_US
dc.identifier.affiliationsDepartment of General Surgery, Pacific Medical College and Hospital, Udaipur, Rajasthan, Indiaen_US
dc.identifier.affiliationsDepartment of General Surgery, Pacific Medical College and Hospital, Udaipur, Rajasthan, Indiaen_US
dc.identifier.affiliationsDepartment of General Surgery, Pacific Medical College and Hospital, Udaipur, Rajasthan, Indiaen_US
dc.identifier.citationDutta P., Wadhawan G., Arora R., Sharma S.. Hollow viscus perforation with gas under diaphragm: a misnomer?. International Journal of Research in Medical Sciences. 2023 Jul; 11(7): 2590-2598en_US
dc.identifier.issn2320-6071
dc.identifier.issn2320-6012
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/234483
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber7en_US
dc.relation.volume11en_US
dc.source.urihttps://doi.org/10.18203/2320-6012.ijrms20232105en_US
dc.subjectEmergency exploratory laparatomyen_US
dc.subjectGas under diaphragmen_US
dc.subjectPneumoperitoneumen_US
dc.subjectHollow viscus perforationen_US
dc.subjectPneumoperitoneumtinal perforationen_US
dc.subjectGastrointestinal perforationen_US
dc.titleHollow viscus perforation with gas under diaphragm: a misnomer?en_US
dc.typeJournal Articleen_US
Files
Original bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
ijrms2023v11n7p2590.pdf
Size:
475.45 KB
Format:
Adobe Portable Document Format
Download
Collections
International Journal of Research in Medical Sciences