Imaging of Alimentary Tract Perforation

1. Front Matter

   Pages i-viii

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2. Diagnostic Approach to Alimentary Tract Perforations

   • Francesca Iacobellis, Daniela Berritto, Roberto Grassi

   Pages 1-7

3. Plain Film Signs of Pneumoperitoneum

   • Antonio Pinto, Roberta Grassi, Carlo Liguori

   Pages 9-14

4. Ultrasonographic Assessment of Gastrointestinal Perforation

   • Massimo Valentino, Libero Barozzi

   Pages 15-21

5. Esophageal Perforation: Assessment with Multidetector Row Computed Tomography

   • Nicola Gagliardi, Ciro Stavolo, Angela De Gennaro

   Pages 23-27

6. Role of Multidetector Row Computed Tomography in the Diagnosis of Gastroduodenal Perforation

   • Daniela Vecchione, Giovanna Russo, Raffaella Niola

   Pages 29-36

7. Small Bowel Perforations: Imaging Findings

   • Stefania Romano

   Pages 37-44

8. Acute Perforated Appendicitis: Spectrum of MDCT Findings

   • Stefania Daniele, Silvana Nicotra, Carlo Liguori

   Pages 45-51

9. Acute Perforated Diverticulitis: Spectrum of MDCT Findings

   • Maria Giuseppina Scuderi, Teresa Cinque

   Pages 53-60

10. Colorectal Perforation: Assessment with MDCT

    • Gianluca Ponticiello, Loredana Di Nuzzo, Pietro Paolo Saturnino

    Pages 61-66

11. MDCT Imaging of Blunt Traumatic Bowel and Colonic Perforation

    • Francesco Iaselli, Isabella Iadevito, Franco Guida, Giacomo Sica, Giorgio Bocchini, Mariano Scaglione

    Pages 67-77

12. MDCT Imaging of Gastrointestinal Tract Perforation Due to Foreign Body Ingestion

    • Roberta Cianci, Valentina Bianco, Gianluigi Esposito, Andrea Delli Pizzi, Antonella Filippone

    Pages 79-84

13. Pneumoretroperitoneum: Imaging Findings

    • Antonio Pinto, Carlo Muzj, Giuseppe Ruggiero

    Pages 85-90

14. Imaging of Gastrointestinal Tract Perforation in the Pediatric Patient

    • Cecilia Lanza, Elisabetta Panfili, Andrea Giovagnoni

    Pages 91-101

15. Imaging of Gastrointestinal Tract Perforation in the Elderly Patient

    • Alfonso Reginelli, Anna Russo, Duilia Maresca, Fabrizio Urraro, Giuseppina Fabozzi, Francesco Stanzione et al.

    Pages 103-113

16. Imaging of Gastrointestinal Tract Perforation in the Oncologic Patients

    • Luigia Romano, Sonia Fulciniti, Massimo Silva, Riccardo Granata, Giuseppe Ruggiero

    Pages 115-132

17. Role of Multidetector Row Computed Tomography in the Diagnosis of Acute Peritonitis Due to Gastrointestinal Perforation

    • Vittorio Miele, Barbara Sessa

    Pages 133-145

18. Abdominal Compartment Syndrome and Gastrointestinal Tract Perforation

    • Ciro Acampora, Rosa Ignarra, Antonio Pinto

    Pages 147-152

19. Back Matter

    Pages 153-155

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This book provides an overview on the critical role of diagnostic imaging in the assessment of patients with suspected alimentary tract perforation, an emergent condition that requires prompt surgery. With the aid of numerous high-quality images, it is described how different imaging modalities, including plain film X-ray, ultrasonography and multidetector row computed tomography (MDCT), permit correct diagnosis of the presence and cause of the perforation and of associated pathologies. Particular attention is paid to MDCT, with full description of its role in a range of scenarios at various levels of the alimentary tract. Imaging of GI tract perforation in different patient groups, such as pediatric patients, the elderly and oncologic patients, is also addressed. This volume will greatly assist residents in radiology, radiologists and physicians who are daily involved in the management of patients with clinically suspected alimentary tract perforation.

• Acute abdomen
• Colonic perforation
• Esophageal perforation
• Gastrointestinal perforation
• Pneumoperitoneum
• Pneumoretroperitoneum
• Small bowel perforation
• X-ray, US, MDCT

• Department of Radiology, “A. Cardarelli” Hospital, Naples, Italy

  Luigia Romano

• Dept Radiology, “A. Cardarelli” Hospital, Naples, Italy

  Antonio Pinto

Professor Luigia Romano is Head of the Department of Radiology, Cardarelli Hospital, Naples, Italy. She has attended 420 national and international scientific congresses and 400 meetings as a guest speaker. She has also organized many radiological emergency meetings and management courses. Professor Romano is the author or co-author of 340 papers in national and international journals, 27 book chapters and 12 books. She is a past president of the Emergency Radiology Section of the Italian Medical Radiological Society (SIRM) and has served on the editorial board of La Radiologia Medica (SIRM’s journal).

Dr. Antonio Pinto is a radiologist in the Emergency Department, Section of Radiology, Cardarelli Hospital, Naples, Italy. His main focus is on clinical activity in emergency radiology and particularly diagnostic, emergency, gastrointestinal radiology and medico-legal issues in radiology. He is the author of two books and a co-author of 35 book chapters and he has published 130 journal articles. He is also a reviewer for European Radiology, the Journal of Computer Assisted Tomography, Emergency Radiology, The Journal of Trauma, Injury, Infection and Critical Care, Medical Science Monitor and World Journal of Radiology. Actually he serves as Editorial Assistant for La Radiologia Medica and he is the President of the SIRM Section of Ethics and Forensic Radiology.

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