Perforation/break in the containing walls of an organ with contents spilling into peritoneal cavity
Shearing/crushing or bursting forces in trauma
Sudden severe abdominal pain:
Often rapidly becoming diffuse due to peritonitis
Consider persistent local pain due to abscess/phlegmon formation
Adults: 500 ...
Obtain upright CXR and abdominal radiographs for patients with suspected perforated viscous.
CXR without free air does not rule out perforation
If high clinical suspicion for perfora...
Gans SL, Stoker J, Boermeester MA. Plain abdominal radiography in acute abdominal pain; past, present, and future. Int J Gen Med. 2012;5:525–533.
Langell JT, Mulvihill SJ....
533.50 Chronic or unspecified peptic ulcer of unspecified site with perforation, without mention of obstruction
562.11 Diverticulitis of colon (without mention of hemorrhage)
868.00 Injury to ...
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