EURORAD ESR

Case 8903

Spontaneous colonic perforation in Crohn's disease

Author(s)
Bemi P, Faggioni L, Mantarro A, Pancrazi F, Scalise P, Angelini G, Sighieri E, Neri E, Bartolozzi C

Department of Diagnostic and Interventional Radiology,
University Hospital of Pisa, Italy
 
Patient
male, 19 year(s)
 
 
  • Figure 1
    Chest X-ray
     

    PA chest X-ray showing abdominal air-fluid levels and subdiaphragmatic free air.

     
    Area of Interest: Abdomen; Imaging Technique: Digital radiography; Procedure: Diagnostic procedure; Special Focus: Inflammation;

    LL chest X-ray showing abdominal air-fluid levels and subdiaphragmatic free air.

     
    Area of Interest: Abdomen; Imaging Technique: Digital radiography; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
  • Figure 2
    Abdominal CT
     

    Axial CT image showing intraperitoneal free air.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;

    Axial CT image showing intraperitoneal free air.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;

    Axial CT image showing intraperitoneal free air.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
  • Figure 3
    MPR views from abdominal CT
     

    Coronal MPR of the transverse colon showing intraparietal and pericolonic air bubbles. The transverse colon was confirmed to be the site of perforation on surgery.

     

    Coronal MPR showing free abdominal air bubbles.

     

    Sagittal MPR view showing free abdominal air below the diaphragmatic dome, anterior to the liver.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
PA chest X-ray showing abdominal air-fluid levels and subdiaphragmatic free air.
 
LL chest X-ray showing abdominal air-fluid levels and subdiaphragmatic free air.
 
Axial CT image showing intraperitoneal free air.
 
Axial CT image showing intraperitoneal free air.
 
Axial CT image showing intraperitoneal free air.
 
Coronal MPR of the transverse colon showing intraparietal and pericolonic air bubbles. The transverse colon was confirmed to be the site of perforation on surgery.
 
Coronal MPR showing free abdominal air bubbles.
 
Sagittal MPR view showing free abdominal air below the diaphragmatic dome, anterior to the liver.
 
 
 
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