DIAGNOSTIC ACCURACY OF ULTRASONOGRAPHY IN DETECTION OF PNEUMOPERITONEUM IN ACUTE ABDOMEN COMPARED TO COMPUTED TOMOGRAPHY

Document Type : Preliminary preprint short reports of original research

Authors

1 Department of Radiodiagnosis, Faculty of Medicine Alexandria University

2 Department of Surgery , faculty of medicine , Alexandria university

3 Department of Emergency Medicine Faculty of Medicine Alexandria University

4 Department of Emergency, Faculty of Medicine, Alexandria University

Abstract

Acute Abdomen is a surgical emergency that warrants urgent surgical intervention upon recognition without delay to avoid significant subsequent morbidity and mortality burdens.
Pneumoperitoneum is one of the life-threatening surgical emergencies that is not always associated with signs of acute abdomen and failure of rapid detection could lead to fatal complications.
The gold standard diagnostic tool for pneumoperitoneum is the Computed Tomographyof the abdomen and pelvis but many challenges hindered patient transfer in a safe, timely manner which spotted the light towards the use of POCUS as a safer, quicker efficient tool to make the diagnosis.
Ultrasonography has been developed to become an integrated part of the clinical examination of patients presenting to the emergency department with Acute Abdomen. Ultrasonographic evaluation of intra-peritoneal free air has been proven effective for detecting pneumoperitoneum as some studies reported visualization of as little as 1 mlwhile other studies have reported the detection volumes as little as 0.2 ml.

Keywords

ALEXMED ePosters
Volume 6, Issue 4
September 2024
Pages 51-52

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