Ultrasound and Perforated Viscus; Dirty Fluid, Dirty Shadows, and Peritoneal Enhancement
Early detection of free air in the peritoneal cavity is vital in diagnosis of life-threatening emergencies, and can play a significant role in expediting treatment. We present a series of cases in which bedside ultrasound (US) in the emergency department accurately identified evidence of free intra-...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Shahid Beheshti University of Medical Sciences
2015-12-01
|
| Series: | Archives of Academic Emergency Medicine |
| Subjects: | |
| Online Access: | https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/229 |
| _version_ | 1818294570487644160 |
|---|---|
| author | Hamid Shokoohi Keith S. Boniface Bruce M. Abell Ali Pourmand Mohammad Salimian |
| author_facet | Hamid Shokoohi Keith S. Boniface Bruce M. Abell Ali Pourmand Mohammad Salimian |
| author_sort | Hamid Shokoohi |
| collection | DOAJ |
| description | Early detection of free air in the peritoneal cavity is vital in diagnosis of life-threatening emergencies, and can play a significant role in expediting treatment. We present a series of cases in which bedside ultrasound (US) in the emergency department accurately identified evidence of free intra-peritoneal air and echogenic (dirty) free fluid consistent with a surgical final diagnosis of a perforated hollow viscus. In all patients with suspected perforated viscus, clinicians were able to accurately identify the signs of pneumoperitoneum including enhanced peritoneal stripe sign (EPSS), peritoneal stripe reverberations, and focal air collections associated with dirty shadowing or distal multiple reflections as ring down artifacts. In all cases, hollow viscus perforation was confirmed surgically. It seems that, performing US in patients with suspected perforated viscus can accurately identify presence of intra-peritoneal echogenic or “dirty†free fluid as well as evidence of free air, and may expedite patient management. |
| first_indexed | 2024-12-13T03:33:51Z |
| format | Article |
| id | doaj.art-f4ced579b7dc4e73a2fac96d1467e93d |
| institution | Directory Open Access Journal |
| issn | 2645-4904 |
| language | English |
| last_indexed | 2024-12-13T03:33:51Z |
| publishDate | 2015-12-01 |
| publisher | Shahid Beheshti University of Medical Sciences |
| record_format | Article |
| series | Archives of Academic Emergency Medicine |
| spelling | doaj.art-f4ced579b7dc4e73a2fac96d1467e93d2022-12-22T00:01:06ZengShahid Beheshti University of Medical SciencesArchives of Academic Emergency Medicine2645-49042015-12-014210.22037/aaem.v4i2.229Ultrasound and Perforated Viscus; Dirty Fluid, Dirty Shadows, and Peritoneal EnhancementHamid Shokoohi0Keith S. BonifaceBruce M. AbellAli PourmandMohammad SalimianGeorge Washington University Medical CenterEarly detection of free air in the peritoneal cavity is vital in diagnosis of life-threatening emergencies, and can play a significant role in expediting treatment. We present a series of cases in which bedside ultrasound (US) in the emergency department accurately identified evidence of free intra-peritoneal air and echogenic (dirty) free fluid consistent with a surgical final diagnosis of a perforated hollow viscus. In all patients with suspected perforated viscus, clinicians were able to accurately identify the signs of pneumoperitoneum including enhanced peritoneal stripe sign (EPSS), peritoneal stripe reverberations, and focal air collections associated with dirty shadowing or distal multiple reflections as ring down artifacts. In all cases, hollow viscus perforation was confirmed surgically. It seems that, performing US in patients with suspected perforated viscus can accurately identify presence of intra-peritoneal echogenic or “dirty†free fluid as well as evidence of free air, and may expedite patient management.https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/229UltrasonographyAbdomenAcutePneumoperitoneumEmergency Department |
| spellingShingle | Hamid Shokoohi Keith S. Boniface Bruce M. Abell Ali Pourmand Mohammad Salimian Ultrasound and Perforated Viscus; Dirty Fluid, Dirty Shadows, and Peritoneal Enhancement Archives of Academic Emergency Medicine Ultrasonography Abdomen Acute Pneumoperitoneum Emergency Department |
| title | Ultrasound and Perforated Viscus; Dirty Fluid, Dirty Shadows, and Peritoneal Enhancement |
| title_full | Ultrasound and Perforated Viscus; Dirty Fluid, Dirty Shadows, and Peritoneal Enhancement |
| title_fullStr | Ultrasound and Perforated Viscus; Dirty Fluid, Dirty Shadows, and Peritoneal Enhancement |
| title_full_unstemmed | Ultrasound and Perforated Viscus; Dirty Fluid, Dirty Shadows, and Peritoneal Enhancement |
| title_short | Ultrasound and Perforated Viscus; Dirty Fluid, Dirty Shadows, and Peritoneal Enhancement |
| title_sort | ultrasound and perforated viscus dirty fluid dirty shadows and peritoneal enhancement |
| topic | Ultrasonography Abdomen Acute Pneumoperitoneum Emergency Department |
| url | https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/229 |
| work_keys_str_mv | AT hamidshokoohi ultrasoundandperforatedviscusdirtyfluiddirtyshadowsandperitonealenhancement AT keithsboniface ultrasoundandperforatedviscusdirtyfluiddirtyshadowsandperitonealenhancement AT brucemabell ultrasoundandperforatedviscusdirtyfluiddirtyshadowsandperitonealenhancement AT alipourmand ultrasoundandperforatedviscusdirtyfluiddirtyshadowsandperitonealenhancement AT mohammadsalimian ultrasoundandperforatedviscusdirtyfluiddirtyshadowsandperitonealenhancement |