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Colorectal Perforation: Assessment with MDCT

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Imaging of Alimentary Tract Perforation

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Abstract

Colorectal perforations are severe conditions with a high rate of mortality. CT plays an important role for diagnosis and identifies the etiology of acute abdomen. Nontraumatic colorectal perforation can be caused by inflammatory, neoplastic, or ischemic etiology as well as by iatrogenic injuries and as a postoperative complication. The diagnosis of GI tract perforation is based on direct CT findings, such as discontinuity of the bowel wall and the presence of extraluminal air, and on indirect CT findings represented by bowel wall thickening, abnormal bowel wall enhancement (includes interruption or lack of bowel wall enhancement on enhanced scan), abscess, and an inflammatory mass adjacent to the bowel.

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Authors and Affiliations

  1. Department of Radiology, “A. Cardarelli” Hospital, Via A. Cardarelli, 9, Naples, 80131, Italy

    Gianluca Ponticiello, Loredana Di Nuzzo & Pietro Paolo Saturnino

Authors
  1. Gianluca Ponticiello
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  2. Loredana Di Nuzzo
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  3. Pietro Paolo Saturnino
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Corresponding author

Correspondence to Gianluca Ponticiello .

Editor information

Editors and Affiliations

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

    Luigia Romano

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

    Antonio Pinto

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Ponticiello, G., Di Nuzzo, L., Saturnino, P.P. (2015). Colorectal Perforation: Assessment with MDCT. In: Romano, L., Pinto, A. (eds) Imaging of Alimentary Tract Perforation. Springer, Cham. https://doi.org/10.1007/978-3-319-08192-2_9

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  • DOI: https://doi.org/10.1007/978-3-319-08192-2_9

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-08191-5

  • Online ISBN: 978-3-319-08192-2

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