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Pneumoretroperitoneum Associated with “Dirty Mass”: An Unusual Case of Rectal Perforation

Perforation of the rectum requires early recognition and treatment. The diagnosis of rectal perforation is sometimes difficult owing to non specific clinical presentation, especially in elderly patients, in whom, in case of acute abdomen, Computed Tomography (CT) is increasing used as first diagnost...

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Detalles Bibliográficos
Autores principales: Liguori, Pasquale, Reginelli, Alfonso, Sparano, Amelia, Ruggiero, Giuseppe, Pinto, Antonio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4891616/
https://www.ncbi.nlm.nih.gov/pubmed/27303455
http://dx.doi.org/10.2484/rcr.v2i1.51
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author Liguori, Pasquale
Reginelli, Alfonso
Sparano, Amelia
Ruggiero, Giuseppe
Pinto, Antonio
author_facet Liguori, Pasquale
Reginelli, Alfonso
Sparano, Amelia
Ruggiero, Giuseppe
Pinto, Antonio
author_sort Liguori, Pasquale
collection PubMed
description Perforation of the rectum requires early recognition and treatment. The diagnosis of rectal perforation is sometimes difficult owing to non specific clinical presentation, especially in elderly patients, in whom, in case of acute abdomen, Computed Tomography (CT) is increasing used as first diagnostic procedure [1]. Several CT signs of gastrointestinal perforation have been described [2, 3]. Recently another CT finding related to colonic perforation called “ dirty mass” has been reported [4]. We present a case of extraperitoneal rectal perforation secondary to colonoscopy in which CT demonstrated the presence of a focal collection of extraluminal fecal matter (“dirty mass”) associated with pneumoretroperitoneum.
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spelling pubmed-48916162016-06-14 Pneumoretroperitoneum Associated with “Dirty Mass”: An Unusual Case of Rectal Perforation Liguori, Pasquale Reginelli, Alfonso Sparano, Amelia Ruggiero, Giuseppe Pinto, Antonio Radiol Case Rep Article Perforation of the rectum requires early recognition and treatment. The diagnosis of rectal perforation is sometimes difficult owing to non specific clinical presentation, especially in elderly patients, in whom, in case of acute abdomen, Computed Tomography (CT) is increasing used as first diagnostic procedure [1]. Several CT signs of gastrointestinal perforation have been described [2, 3]. Recently another CT finding related to colonic perforation called “ dirty mass” has been reported [4]. We present a case of extraperitoneal rectal perforation secondary to colonoscopy in which CT demonstrated the presence of a focal collection of extraluminal fecal matter (“dirty mass”) associated with pneumoretroperitoneum. Elsevier 2016-01-05 /pmc/articles/PMC4891616/ /pubmed/27303455 http://dx.doi.org/10.2484/rcr.v2i1.51 Text en © 2007 The Authors. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Article
Liguori, Pasquale
Reginelli, Alfonso
Sparano, Amelia
Ruggiero, Giuseppe
Pinto, Antonio
Pneumoretroperitoneum Associated with “Dirty Mass”: An Unusual Case of Rectal Perforation
title Pneumoretroperitoneum Associated with “Dirty Mass”: An Unusual Case of Rectal Perforation
title_full Pneumoretroperitoneum Associated with “Dirty Mass”: An Unusual Case of Rectal Perforation
title_fullStr Pneumoretroperitoneum Associated with “Dirty Mass”: An Unusual Case of Rectal Perforation
title_full_unstemmed Pneumoretroperitoneum Associated with “Dirty Mass”: An Unusual Case of Rectal Perforation
title_short Pneumoretroperitoneum Associated with “Dirty Mass”: An Unusual Case of Rectal Perforation
title_sort pneumoretroperitoneum associated with “dirty mass”: an unusual case of rectal perforation
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4891616/
https://www.ncbi.nlm.nih.gov/pubmed/27303455
http://dx.doi.org/10.2484/rcr.v2i1.51
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