JK Amorosa. Abd-pelvis  Solid organs: liver, spleen, k-s, pancreas, adrenals  Bowel, mesentery  Retroperitoneum  Bladder  Free air, fluid ..itis:

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Presentation transcript:

JK Amorosa

Abd-pelvis  Solid organs: liver, spleen, k-s, pancreas, adrenals  Bowel, mesentery  Retroperitoneum  Bladder  Free air, fluid ..itis:

Supine abdominal image Signs of perforation 1.Air on either side of bowel 2.Air pockets 3. Hypogastric vessels

Are you thinking of FREE AIR?

 X table Left lateral decubitus image  Why not right lateral decubitus image?

CT shows free air

63 f SBO early

SBO - Small Bowel Obstruction, moderately high grade

SBO, high grade

CT is best but occasionally…. amorosa

SBO caused by Umbilical hernia

High grade SBO

SBO with perforation

Free air

Free air/pneumoperitoneum/perforation

Portal venous air from bowel necrosis

Pneumatosis- bowel necrosis

Pneumatosis

Rectus muscle hematoma

Fecal impaction

Free air in ICU

Bowel edema, localized

Pancolitis, severe edema: C Diff

Free air

Intestinal perforation

Provide a brief clinical history based on these coronal noncontrast enhanced CT images

GIST

Problem

85 m

AAA

cc.rsna.org

 ACR Appropriateness Criteria