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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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2016
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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. |
format | Online Article Text |
id | pubmed-4891616 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
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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