Traumatic and nontraumatic perforation of hollow viscera.
Hollow viscus injuries are usually managed with few complications. However, if their diagnosis is delayed, or if reparative suture closure should fail, the patient is placed at risk of multiple organ failure. This article presents diagnostic approaches, emphasizing imaging modalities, and therapeutic strategies for three clinical scenarios of hollow viscus perforation: 1) acute appendicitis, 2) gastroduodenal peptic ulcer disease, and 3) trauma.
Espinoza
R
R
Department of Surgery, Pontificia Catholic University of Chile, Santiago, Chile.
Rodríguez
A
A
D000007:Abdominal Injuries / Q000175:diagnosis* / Q000601:surgery; D000208:Acute Disease; D001064:Appendicitis / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D003952:Diagnostic Imaging; D006801:Humans; D007416:Intestinal Perforation / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D007422:Intestines / Q000293:injuries / Q000601:surgery; D010535:Laparoscopy; D009102:Multiple Organ Failure / Q000209:etiology; D010439:Peptic Ulcer Perforation / Q000175:diagnosis* / Q000601:surgery; D012421:Rupture; D012422:Rupture, Spontaneous; D013270:Stomach / Q000293:injuries / Q000601:surgery; D013536:Suture Techniques; D013997:Time Factors; D014463:Ultrasonography