| Gastrointestinal perforation without intraperitoneal air-fluid level in neonatal pneumoperitoneum. | |
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MedLine Citation:
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PMID: 998827 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Twenty-one cases of neonatal pneumoperitoneum seen at the C.S. Mott Children's Hospital between 1970 and 1974 were reviewed. Of 14 cases with autopsy or surgically proven gastrointestinal perforation, six did not have an intraperitoneal air-fluid level on the initial cross-table lateral roentgenogram while eight did. Four cases of pneumoperitoneum secondary to mechanically assisted ventilation and air leak phenomenon had no air-fluid level. A postmortem study in one premature infant cadaver suggests that the air-fluid level may not be reliably demonstrated when the amount of intraperitoneal fluid is small. These data support the contention that an intraperitoneal air-fluid level does not uniformly occur in perforated viscus and that its absence, even in the presence of mechanically assisted ventilation, does not exclude the necessity for surgical intervention. In some cases, water-soluble contrast examination of the gastrointestinal tract appears to be a more reliable diagnostic adjunct to document a perforated viscus, when a definite intraperitoneal air-fluid level is not present. |
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Authors:
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R A Kaufman; L R Kuhns; A K Poznanski; J F Holt |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: AJR. American journal of roentgenology Volume: 127 ISSN: 0361-803X ISO Abbreviation: AJR Am J Roentgenol Publication Date: 1976 Dec |
Date Detail:
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Created Date: 1977-01-25 Completed Date: 1977-01-25 Revised Date: 2008-02-15 |
Medline Journal Info:
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Nlm Unique ID: 7708173 Medline TA: AJR Am J Roentgenol Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 915-21 Citation Subset: AIM; IM |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Humans Infant, Newborn Infant, Newborn, Diseases / radiography* Intestinal Perforation / complications, congenital*, radiography Pneumoperitoneum / congenital*, etiology, radiography |
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