Secondary peritonitis other imaging findings: Difference between revisions
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==Overview== | ==Overview== | ||
Imaging studies such as X-ray or ultrasound require to diagnose perforated Secondary peritonitis, if the patient has met two of the chemical criteria (ascitic fluid protein >l g/dl, glucose ~50 mg/dl, and lactate dehydrogenase greater than the upper limit of normal for serum] are fulfilled in the setting of neutrocytic ascites.<ref name="pmid2293571">{{cite journal| author=Akriviadis EA, Runyon BA| title=Utility of an algorithm in differentiating spontaneous from secondary bacterial peritonitis. | journal=Gastroenterology | year= 1990 | volume= 98 | issue= 1 | pages= 127-33 | pmid=2293571 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=2293571 }} </ref> | Imaging studies such as X-ray or ultrasound require to diagnose perforated Secondary peritonitis, if the patient has met two of the chemical criteria (ascitic fluid protein >l g/dl, glucose ~50 mg/dl, and lactate dehydrogenase greater than the upper limit of normal for serum] are fulfilled in the setting of neutrocytic ascites.<ref name="pmid2293571">{{cite journal| author=Akriviadis EA, Runyon BA| title=Utility of an algorithm in differentiating spontaneous from secondary bacterial peritonitis. | journal=Gastroenterology | year= 1990 | volume= 98 | issue= 1 | pages= 127-33 | pmid=2293571 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=2293571 }} </ref> | ||
* For esophageal and gastric perforations, an upper GI series with water-soluble iodinated contrast media is helpful. | |||
* Also, an oral contrast study (water-soluble contrast media) for small intestinal obstruction and a radiographic contrast enema for large intestinal obstruction are useful. | |||
* Antidromic cystography is useful for diagnosing urinary bladder rupture. | |||
* Limitations: serious pneumonia and pulmonary edema may develop when hypertonic contrast media is in the bronchus, use of low or iso osmotic contrast media is recommended when the aspiration of contrast media might occur. | |||
==Key Findings in == | ==Key Findings in == | ||
Revision as of 15:17, 8 February 2017
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Secondary Peritonitis Microchapters |
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Secondary peritonitis other imaging findings On the Web |
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American Roentgen Ray Society Images of Secondary peritonitis other imaging findings |
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Directions to Hospitals Treating Spontaneous bacterial peritonitis |
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Risk calculators and risk factors for Secondary peritonitis other imaging findings |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Shivani Chaparala M.B.B.S [2]
Overview
Imaging studies such as X-ray or ultrasound require to diagnose perforated Secondary peritonitis, if the patient has met two of the chemical criteria (ascitic fluid protein >l g/dl, glucose ~50 mg/dl, and lactate dehydrogenase greater than the upper limit of normal for serum] are fulfilled in the setting of neutrocytic ascites.[1]
- For esophageal and gastric perforations, an upper GI series with water-soluble iodinated contrast media is helpful.
- Also, an oral contrast study (water-soluble contrast media) for small intestinal obstruction and a radiographic contrast enema for large intestinal obstruction are useful.
- Antidromic cystography is useful for diagnosing urinary bladder rupture.
- Limitations: serious pneumonia and pulmonary edema may develop when hypertonic contrast media is in the bronchus, use of low or iso osmotic contrast media is recommended when the aspiration of contrast media might occur.
Key Findings in
Key Examples of
References
- ↑ Akriviadis EA, Runyon BA (1990). "Utility of an algorithm in differentiating spontaneous from secondary bacterial peritonitis". Gastroenterology. 98 (1): 127–33. PMID 2293571.