To report a surgical case with a diagnosis of COVID that developed acute perforated abdomen and pneumothorax.. This was an year-old female patient with respiratory symptoms, with dry cough and fever and diffuse abdominal pain with signs of peritonitis. Computed tomography of the chest and abdomen showed pneumothorax on the right and extensive pneumoperitoneum.. The presentation of COVID with severe pulmonary and abdominal complications requires specialized and emergency treatments, but it has high mortality rates.. The Coronavirus belongs to a family of RNA viruses that can cause respiratory infection with varied symptoms, with COVID being a new type of microorganism belonging to this family described in the last months of , of which symptoms usually include coughing, fever, fatigue, headache and myalgia after 2—14 days of exposure.

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When and why use unenhanced computed tomography in patients with acute abdomen. The use of unenhanced computed tomography has been frequently recommended for the initial assessment of patients with clinical suspicion of acute abdomen instead of other diagnostic methods. The authors present a review of the literature on the main aspects, advantages, limitations and efficacy of unenhanced computed tomography for the diagnosis of acute appendicitis, renal colic, diverticulitis, acute pancreatitis, primary epiploic appendicitis, pneumoperitoneum and small bowel obstruction.

The advantages and limitations of this technique are also discussed. Posteriormente, esses estudos foram reproduzidos por outros autores, com resultados semelhantes 4,7,,18,19,26,31, Em , Balthazar et al. Valores semelhantes foram observados nos relatos de Malone et al. Mais recentemente, outros autores, como Lane et al.

Segundo Rao et al. Mullins et al. Diversas anormalidades podem se manifestar clinicamente como dor lombar aguda. Hubner et al. Estudos realizados desde Smith et al. Hamm et al. Gottlieb et al. Segundo Kircher et al. Esta conduta levaria a um retardo no estadiamento da pancreatite aguda. De Sanctis et al. Dois estudos avaliaram a capacidade da TC sem contraste em graduar a pancreatite aguda 48, Ahn et al.

Mindelzun et al. Baker SR. Unenhanced helical CT versus plain abdominal radiography: a dissenting opinion. Radiology ; Acute appendicitis: CT and US correlation in patients. Radiology ; The value of unenhanced CT in the diagnosis of acute appendicitis. Unenhanced helical CT for suspected acute appendicitis. AJR ; Diagnosis of acute appendicitis: value of unenhanced CT.

AJR ; Unenhanced helical CT for evaluating acute abdominal pain: a little more cost, a lot more information. Helical CT combined with contrast material administered only through the colon for imaging of suspected appendicitis. The clinical role of noncontrast helical computed tomography in the diagnosis of acute appendicitis. Am J Surg ; Using unenhanced helical CT with enteric contrast material for suspected appendicitis in patients treated at a community hospital.

Suspected acute appendicitis: nonenhanced helical CT in consecutive patients. Evaluation of suspected appendicitis in children using limited helical CT and colonic contrast material. Diagnostic value of unenhanced helical CT in adult patients with suspected acute appendicitis. Br J Radiol ; Clinical role of noncontrast helical computed tomography in diagnosis of acute appendicitis. Helical CT of appendicitis and diverticulitis. Radiol Clin North Am ; Helical CT in emergency radiology.

Spiral CT in the evaluation of flank pain: overall accuracy and feature analysis. J Comput Assist Tomogr ; Acute flank pain: comparison of non-contrast-enhanced CT and intravenous urography. Diagnosis of acute flank pain: value of unenhanced helical CT. Detection of ureteral calculi in patients with suspected renal colic: value of reformatted noncontrast helical CT.

Relationship between duration of pain and secondary signs of obstruction of the urinary tract on unenhanced helical CT. Unenhanced helical CT in the investigation of acute flank pain.

Clin Radiol ; Suspected ureteral colic: primary helical CT versus selective helical CT after unenhanced radiography and sonography. Low dose unenhanced helical computerized tomography for the evaluation of acute flank pain. J Urol ; CT in detecting urinary tract calculi: influence on patient imaging and clinical outcomes. Interobserver variability in the interpretation of unenhanced helical CT for the diagnosis of ureteral stone disease.

Radiologic investigation of renal colic: unenhanced helical CT compared with excretory urography. Pearls and pitfalls in the diagnosis of ureterolithiasis with unenhanced helical CT. RadioGraphics ;; quiz , Differences of renal parenchymal attenuation for acutely obstructed and unobstructed kidneys on unenhanced helical CT: a useful secondary sign? Alternative or additional diagnoses on unenhanced helical computed tomography for suspected renal colic: experience with consecutive examinations.

Urology ; Unenhanced helical CT for renal colic - is the radiation dose justifiable? Helical CT with only colonic contrast material for diagnosing diverticulitis: prospective evaluation of patients. Jeffrey RB. Imaging the acute abdome: the impact of computed tomography and sonography. Textbook of gastrointestinal radiology. Philadelphia, Pa: WB Saunders, ; Frequency, sensitivity, and specificity of individual signs of diverticulitis on thin-section helical CT with colonic contrast material: experience with cases.

Radiol Bras ; Radiol Bras ; The use of unenhanced helical CT to evaluate suspected renal colic. Napel AS. Basic principles of spiral CT. Spiral CT: principles, techniques, and clinical applications. Philadelphia, PA: Lippincott-Raven, Acute appendicitis: effect of increased use of CT on selecting patients earlier.

A focused appendiceal CT technique to reduce the cost of caring for patients with clinically suspected appendicitis. Sigmoid diverticulitis: diagnostic role of CT - comparison with barium enema studies. Differentiating sigmoid diverticulitis from carcinoma on CT scans: mesenteric inflammation suggests diverticulitis. Herlinger H, Rubesin SE. Philadelphia, Pa: WB Saunders, Appendicitis: a critical review of diagnosis and treatment in cases.

Arch Surg ; Value of CT in the diagnosis and management of patients with suspected acute small-bowel obstruction. Significance of extrapancreatic findings in computed tomography CT of acute pancreatitis. Eur J Radiol ; Balthazar EJ. Acute pancreatitis: assessment of severity with clinical and CT evaluation. Tese de Doutorado. Maier W. The value of non-contrast computed tomography in acute pancreatitis. Rofo ; Primary epiploic appendagitis: evolutionary changes in CT appearance.

Rioux M, Langis P. Primary epiploic appendagitis: clinical, US, and CT findings in 14 cases. Siewert B, Raptopoulos V. CT of the acute abdomen: findings and impact on diagnosis and treatment.


07. abdome agudo perfurativo

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Abdome agudo perfurativo por corpo estranho em paciente com situs inversus totalis



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