Ultrasound and Perforated Viscus; Dirty Fluid, Dirty Shadows, and Peritoneal Enhancement

Hamid Shokoohi; Keith S. Boniface; Bruce M. Abell; Ali Pourmand; Mohammad Salimian

doi:10.22037/aaem.v4i2.229

卷 4 编号 2 (2016)

五月 2016

Ultrasound and Perforated Viscus; Dirty Fluid, Dirty Shadows, and Peritoneal Enhancement

学术急诊医学档案, 卷 4 编号 2 (2016), 1 五月 2016 , 第 101-105 页
https://doi.org/10.22037/aaem.v4i2.229 已出版: 2015-12-04

摘要

Early detection of free air in the peritoneal cavity is vital in diagnosis of life-threatening emergencies, and can play a significant role in expediting treatment. We present a series of cases in which bedside ultrasound (US) in the emergency department accurately identified evidence of free intra-peritoneal air and echogenic (dirty) free fluid consistent with a surgical final diagnosis of a perforated hollow viscus. In all patients with suspected perforated viscus, clinicians were able to accurately identify the signs of pneumoperitoneum including enhanced peritoneal stripe sign (EPSS), peritoneal stripe reverberations, and focal air collections associated with dirty shadowing or distal multiple reflections as ring down artifacts. In all cases, hollow viscus perforation was confirmed surgically. It seems that, performing US in patients with suspected perforated viscus can accurately identify presence of intra-peritoneal echogenic or â€œdirtyâ€ free fluid as well as evidence of free air, and may expedite patient management.

关键词:

Ultrasonography
Abdomen
Acute
Pneumoperitoneum
Emergency Department

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Shokoohi H, Boniface KS, Abell BM, Pourmand A, Salimian M. Ultrasound and Perforated Viscus; Dirty Fluid, Dirty Shadows, and Peritoneal Enhancement. Arch Acad Emerg Med [网际网络]. 2015年12月4日 [见引于 2026年7月28日];4(2):101-5. 载于: https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/229

参考

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学术急诊医学档案

卷 4 编号 2 (2016)

Ultrasound and Perforated Viscus; Dirty Fluid, Dirty Shadows, and Peritoneal Enhancement

摘要

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参考

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