Bowel Perforations

  • Patrice Taourel
  • Joseph Pujol
  • Emma Pages-Bouic
Part of the Medical Radiology book series (MEDRAD)


Gastrointestinal tract perforation is an emergent condition that requires prompt surgery. Diagnosis largely depends on imaging examinations, and correct diagnosis of the presence, level, and cause of perforation is essential for appropriate management and surgical planning. Although plain radiography classically remains the first imaging modality, the high clinical efficacy of computed tomographic examination in this field has been well recognized. CT semiology is based on direct findings, including the identification of the bowel wall interruption, and indirect findings, including a pneumoperitoneum, a peridigestive infiltration, and a bowel wall thickening. These findings have different patterns according to the cause and the site of the bowel perforation. This chapter deals with the CT findings, CT pitfalls, and CT impact in the diagnosis and management of bowel perforation.


Perforated Appendicitis Gastroduodenal Ulcer Falciform Ligament Duodenal Diverticulum Compute Tomography Sign 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer-Verlag Berlin Heidelberg 2010

Authors and Affiliations

  • Patrice Taourel
    • 1
  • Joseph Pujol
    • 1
  • Emma Pages-Bouic
    • 1
  1. 1.Département of ImagingHôpital LapeyronieMontpellier Cedex 5France

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