title: Role of Multidetector Computed Tomography in the Diagnosis of Colorectal Perforations.
abstract: Colonic perforations can be classified into perforations that occur at the site of a localized pathologic process and cecal perforations that occur secondary to distal colonic obstructions. Rectal perforations may result from foreign bodies inserted into the rectum; moreover, deep rectal biopsies, polypectomy, improper cleansing enema, or thermometer placement may also lead to rectal perforation. Correct identification of the cause and site of the perforation is crucial for appropriate management and surgical planning. Multidetector row computed tomography has a pivot role in planning the type of operative treatment, the prognosis, and in assessing those patients who have clinical symptoms of peritonitis but no radiographic signs of perforation.
authors.affiliation: Department of Radiology, Cardarelli Hospital, Naples, Italy. Electronic address: pietropsaturnino@libero.it.
authors.forename: Pietro Paolo
authors.initials: PP
authors.lastname: Saturnino
authors.affiliation: Department of Radiology, Cardarelli Hospital, Naples, Italy.
authors.forename: Antonio
authors.initials: A
authors.lastname: Pinto
authors.affiliation: Department of Radiology, Cardarelli Hospital, Naples, Italy.
authors.forename: Carlo
authors.initials: C
authors.lastname: Liguori
authors.affiliation: Department of Radiology, Cardarelli Hospital, Naples, Italy.
authors.forename: Gianluca
authors.initials: G
authors.lastname: Ponticiello
authors.affiliation: Department of Radiology, Cardarelli Hospital, Naples, Italy.
authors.forename: Luigia
authors.initials: L
authors.lastname: Romano
mesh_terms: D003106:Colon / Q000000981:diagnostic imaging / Q000293:injuries*; D003108:Colonic Diseases / Q000000981:diagnostic imaging*; D004632:Emergency Medical Services / Q000379:methods; D006801:Humans; D007416:Intestinal Perforation / Q000000981:diagnostic imaging*; D061330:Multidetector Computed Tomography / Q000379:methods*; D056888:Patient Positioning / Q000379:methods; D011856:Radiographic Image Enhancement / Q000379:methods; D011860:Radiography, Abdominal / Q000379:methods; D012002:Rectal Diseases / Q000000981:diagnostic imaging*; D012007:Rectum / Q000000981:diagnostic imaging / Q000293:injuries*