Author/Editor		Frković, Marija; Klapan, Tatjana; Moscatello, Ines; Frković, Marijan
Title		Diagnostic value of pneumoperitoneum on plain abdominal film
Translated title		Diagnostična vrednost pneumoperitoneja pri rentgenskem slikanju abdomna na prazno
Type		članek
Source		Radiol Oncol
Vol. and No.		Letnik 35, št. 4
Publication year		2001
Volume		str. 237-42
Language		eng
Abstract		Background. Pneumoperitoneum is the presence of air outside the gut lumen as the hallmark of alimentary tract perforation. It can be spontaneous or traumatic in origin. The most frequent cause of spontaneous pneumoperitoneum is the perforation of gastric or duodenal ulcer and the aim of the study was to assess the diagnostic value of pneumoperitoneum on plain abdominal film. Patients and methods. This is a retrospective study based on the diagnostic value of pneumoperitoneum on plain abdominal film, with the patient in upright, supine and sometimes left lateral decubitus position. The study included 79 patients who were admitted to our hospital during a 2-year period of time (19981999) and operated on for perforated gastroduodenal ulcer. Results. Ten (12.66%) of 79 patients underwent operation without radiological procedure. Sixty-nine (87.34 %) patients were examined radiographically and 53 (76.81%) of them had signs of pneumoperitoneum initially on the plain film. Conclusions. The most common cause of pneumoperitoneum was perforated duodenal ulcer in elderly male patients. The most frequent sign of pneumoperitoneum was the crescent shaped free air beneath the diaphragm.
Summary		Izhodišča. Pneumoperitonej imenujemo prisotnost zraka izven širine lumna črevesa in je najvažnejši dokaz perforacije črevesa pri rentgenskem slikanju abdomna na prazno. Perforacija je lahko spontana ali pa posledica poškodbe. Najpogostejši vzrok spontane perforacije je razjeda želodca ali dvanajsternika. Zato je bil namen naše raziskave preveriti diagnostično vrednost pneumoperitoneja pri rentgenskem slikanju abdomna na prazno. Bolniki in metode. V retrospektivni raziskavi smo analizirali 79 bolnikov, ki so bili v dvoletnem obdobju (1998-1999) napoteni v našo bolnico in operirani zaradi perforirane razjede želodca ali dvanajsternika. Preverjali smo diagnostično vrednost rentgenske slike abdomna na prazno, predhodno narejene na bolnikih v stoječem polažju; leže na hrbtu in leže ne levem boku. Rezultati. Deset (12,66 %) od 79 bolnikov je bilo operiranih brez predhodne radiološke diagnostike. Pri 16 (87,34 %) bolnikih smo naredili radiološke preiskave, 53 (76,81 %) pa jih je imelo začetne znake pneumoperitoneja pri slikanju abdomna na prazno. Zaključki. Najpogostejši vzrok pneumoperitoneja je bila perforirana razjeda dvanajsternika pri starostnikih. Najpogostejši rentgenološki znak pneumoperitoneja pa je bila srpasta kolekcija zraka pod trebušno prepono.
Descriptors		PEPTIC ULCER PERFORATION PNEUMOPERITONEUM